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General NPI Number Information
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NPI Number | 1700875069
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Entity Type | Organization
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Legal Business Name | KATY WEST HOUSTON ANESTHESIA PA
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Dates
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Enumeration Date | 10/19/2005
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Last Update Date | 03/24/2014
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Provider Practice Location Address
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Address Line | 12811 BEAMER RD STE C
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City | HOUSTON
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State | TX
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Zip | 77089-6140
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Country | US
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Telephone | 281-380-2620
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Fax | 832-645-1180
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Provider Business Mailing Address
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Address Line | PO BOX 154133
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City | LUFKIN
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State | TX
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Zip | 75915-4133
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Country | US
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Telephone | 936-639-3036
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Fax | 936-639-3064
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ARTURO SOBARZO
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Credential | MD
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Telephone | 281-348-0426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | G7724
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License Number State | TX
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