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General NPI Number Information
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NPI Number | 1700097276
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Entity Type | Organization
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Legal Business Name | HOUSTON INJURY & REHAB CENTER INC.
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 07/13/2007
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Provider Practice Location Address
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Address Line | 10932 EAST FWY
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City | HOUSTON
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State | TX
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Zip | 77029-1912
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Country | US
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Telephone | 713-330-9100
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Fax | 713-330-9101
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Provider Business Mailing Address
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Address Line | 10932 EAST FWY
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City | HOUSTON
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State | TX
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Zip | 77029-1912
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Country | US
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Telephone | 713-330-9100
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Fax | 713-330-9101
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Authorized Official
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Title or Position | OWNER
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Name | WALID H HAMOUDI
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Credential | M.D.
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Telephone | 703-330-9100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | K7027
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License Number State | TX
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