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General NPI Number Information
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NPI Number | 1740144815
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Entity Type | Organization
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Legal Business Name | CRYSTAL PINE 9889 LLC
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 9889 BELLAIRE BLVD STE 134
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City | HOUSTON
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State | TX
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Zip | 77036-3468
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Country | US
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Telephone | 713-936-1300
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Fax | 832-519-9749
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Provider Business Mailing Address
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Address Line | 9889 BELLAIRE BLVD STE 134
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City | HOUSTON
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State | TX
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Zip | 77036-3468
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Country | US
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Telephone | 713-936-1300
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Fax | 832-519-9749
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Authorized Official
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Title or Position | DIRECTOR
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Name | TZU PAO HUANG
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Credential |
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Telephone | 281-904-2578
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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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