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General NPI Number Information
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NPI Number | 1720941909
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Entity Type | Organization
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Legal Business Name | HEDWIG SURGICAL ASSOCIATES PA
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 8731 KATY FWY STE 500
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City | HOUSTON
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State | TX
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Zip | 77024-1736
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Country | US
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Telephone | 610-750-0836
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Fax | 610-750-0836
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Provider Business Mailing Address
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Address Line | 8731 KATY FWY STE 500
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City | HOUSTON
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State | TX
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Zip | 77024-1736
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Country | US
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Telephone | 610-750-0836
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Fax | 610-750-0836
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Authorized Official
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Title or Position | COO
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Name | MICHAEL WARREN PONTRELLI
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Credential |
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Telephone | 610-750-0836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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