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General NPI Number Information
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NPI Number | 1740199298
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Entity Type | Organization
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Legal Business Name | LIFEDOCTOR PLLC
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 705 S FRY RD STE 235
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City | KATY
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State | TX
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Zip | 77450-2253
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Country | US
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Telephone | 832-476-0007
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Fax | 832-476-0008
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Provider Business Mailing Address
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Address Line | 705 S FRY RD STE 235
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City | KATY
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State | TX
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Zip | 77450-2253
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Country | US
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Telephone | 832-476-0007
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Fax | 832-476-0008
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | IRFAN RAZA NATHANI
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Credential | MD
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Telephone | 832-715-7414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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