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General NPI Number Information
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NPI Number | 1730488735
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Entity Type | Organization
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Legal Business Name | FELDMAN PLASTIC SURGERY, PLLC
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Dates
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Enumeration Date | 03/16/2011
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Last Update Date | 03/16/2011
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Provider Practice Location Address
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Address Line | 4690 SWEETWATER BLVD STE 140
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City | SUGAR LAND
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State | TX
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Zip | 77479-3468
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Country | US
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Telephone | 281-313-0540
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Fax | 281-313-0542
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Provider Business Mailing Address
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Address Line | 4690 SWEETWATER BLVD STE 140
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City | SUGAR LAND
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State | TX
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Zip | 77479-3468
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Country | US
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Telephone | 281-313-0540
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Fax | 281-313-0542
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Authorized Official
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Title or Position | FOUNDING MEMBER
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Name | DR. EVAN M FELDMAN
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Credential | M.D.
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Telephone | 713-502-2896
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | N4409
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License Number State | TX
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