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General NPI Number Information
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NPI Number | 1700204146
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Entity Type | Organization
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Legal Business Name | HOUSTON CONCIERGE MEDICINE PA
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Dates
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Enumeration Date | 04/02/2014
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Last Update Date | 03/14/2017
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Provider Practice Location Address
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Address Line | 9432 KATY FWY SUITE 400
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City | HOUSTON
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State | TX
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Zip | 77055-6349
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Country | US
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Telephone | 713-333-6464
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Fax |
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Provider Business Mailing Address
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Address Line | 9432 KATY FWY SUITE 400
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City | HOUSTON
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State | TX
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Zip | 77055
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Country | US
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Telephone | 713-333-6464
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. GREGORY S BURZYNSKI
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Credential | M.D.
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Telephone | 713-333-6464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | N8382
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License Number State | TX
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