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General NPI Number Information
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NPI Number | 1710109889
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Entity Type | Organization
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Legal Business Name | TEXAS CENTER FOR PAIN MANAGEMENT, PA
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 10/03/2022
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Provider Practice Location Address
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Address Line | 12060 BELLAIRE BLVD SUITE C
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City | HOUSTON
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State | TX
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Zip | 77072-2569
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Country | US
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Telephone | 281-530-9947
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Fax |
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Provider Business Mailing Address
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Address Line | 12060 BELLAIRE BLVD SUITE C
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City | HOUSTON
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State | TX
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Zip | 77072-2569
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Country | US
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Telephone | 281-530-9947
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HIEU NGUYEN
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Credential |
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Telephone | 281-530-9947
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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