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General NPI Number Information
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NPI Number | 1689076119
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Entity Type | Organization
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Legal Business Name | ONCALL EMERGENCY CENTER MEMORIAL VILLAGE LLC
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Dates
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Enumeration Date | 09/16/2014
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Last Update Date | 09/16/2014
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Provider Practice Location Address
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Address Line | 1014 WIRT RD STE 200
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City | HOUSTON
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State | TX
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Zip | 77055-6883
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Country | US
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Telephone | 909-838-6522
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Fax |
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Provider Business Mailing Address
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Address Line | 3901 BELLAIRE BLVD STE A
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City | HOUSTON
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State | TX
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Zip | 77025-1100
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Country | US
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Telephone | 909-838-6522
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Fax |
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Authorized Official
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Title or Position | CO FOUNDER, CEO& PRESIDENT
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Name | STEPHEN GEORGE MYERS
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Credential | JD,LLM,MBA
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Telephone | 713-357-4509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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