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General NPI Number Information
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NPI Number | 1679152607
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Entity Type | Organization
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Legal Business Name | TEXAS BRAIN INSTITUTE LLC
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Dates
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Enumeration Date | 04/06/2021
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 7205 FANNIN ST STE 110B
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City | HOUSTON
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State | TX
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Zip | 77030-5000
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Country | US
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Telephone | 888-900-1824
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Fax | 713-779-3400
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Provider Business Mailing Address
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Address Line | 6808 HORNWOOD DR
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City | HOUSTON
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State | TX
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Zip | 77074-3608
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Country | US
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Telephone | 888-900-1824
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DR. STEFANIE VELGOS
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Credential | PHD, M.SC
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Telephone | 888-900-1824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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