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General NPI Number Information
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NPI Number | 1710728316
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Entity Type | Organization
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Legal Business Name | CORE MEDICAL PHYSICIANS
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Dates
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Enumeration Date | 06/05/2024
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 10425 HUFFMEISTER RD STE 310
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City | HOUSTON
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State | TX
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Zip | 77065-3429
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Country | US
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Telephone | 346-299-3354
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Fax | 866-531-7636
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Provider Business Mailing Address
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Address Line | 10425 HUFFMEISTER RD STE 310
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City | HOUSTON
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State | TX
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Zip | 77065-3429
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Country | US
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Telephone | 346-299-3354
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Fax | 866-531-7636
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. OMAR KHAN JILANI
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Credential | MD, MBA
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Telephone | 346-299-3354
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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