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General NPI Number Information
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NPI Number | 1740088723
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Entity Type | Organization
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Legal Business Name | LONE STAR NEONATOLOGY AT NORTH TEXAS, PLLC
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 3101 N TARRANT PKWY
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City | FT WORTH
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State | TX
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Zip | 76177-8656
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Country | US
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Telephone | 817-639-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 HEALTH PARK DR
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City | BRENTWOOD
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State | TN
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Zip | 37027-4692
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Country | US
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Telephone | 615-373-7406
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARLOS MOAS
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Credential |
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Telephone | 786-494-5154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number |
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License Number State |
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