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General NPI Number Information
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NPI Number | 1689312761
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Entity Type | Organization
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Legal Business Name | BAYOU CITY INFECTIOUS DISEASE PLLC
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Dates
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Enumeration Date | 05/26/2022
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 1311 W SAM HOUSTON PKWY N STE 100
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City | HOUSTON
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State | TX
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Zip | 77043-4016
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Country | US
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Telephone | 832-219-3385
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Fax | 832-219-3374
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Provider Business Mailing Address
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Address Line | PO BOX 890967
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City | HOUSTON
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State | TX
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Zip | 77289-0967
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Country | US
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Telephone | 832-219-3385
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Fax | 832-219-3374
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Authorized Official
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Title or Position | OWNER
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Name | SHARIQ RAUF
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Credential | MD
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Telephone | 248-759-0534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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