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General NPI Number Information
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NPI Number | 1679759245
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Entity Type | Organization
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Legal Business Name | BAYCENTER FAMILY PHYSICIAN, P.A.
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Dates
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Enumeration Date | 01/14/2008
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 4343 FAIRMONT PKWY
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City | PASADENA
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State | TX
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Zip | 77504-3305
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Country | US
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Telephone | 281-991-0444
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Fax |
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Provider Business Mailing Address
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Address Line | 4343 FAIRMONT PKWY
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City | PASADENA
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State | TX
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Zip | 77504-3305
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Country | US
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Telephone | 281-991-0444
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MARICELA ROMERO
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Credential |
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Telephone | 281-991-0444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | K3839
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License Number State | TX
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