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General NPI Number Information
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NPI Number | 1700918356
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Entity Type | Organization
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Legal Business Name | AMARILLO CARDIOVASCULAR & THORACIC SURGERY, P.A.
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 11/23/2016
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Provider Practice Location Address
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Address Line | 1301 S. COULTER, SUITE 103
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City | AMARILLO
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State | TX
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Zip | 79106-1764
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Country | US
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Telephone | 806-463-1712
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Fax | 806-463-1715
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Provider Business Mailing Address
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Address Line | 1301 S. COULTER, SUITE 103
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City | AMARILLO
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State | TX
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Zip | 79106-1764
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Country | US
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Telephone | 806-463-1712
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Fax | 806-463-1715
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MASOUD A ALZEERAH
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Credential | M.D.
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Telephone | 806-463-1712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | J3727
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License Number State | TX
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