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General NPI Number Information
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NPI Number | 1740300540
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Entity Type | Organization
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Legal Business Name | HOUSTON OPTIMUM CARE MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 02/07/2008
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Provider Practice Location Address
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Address Line | 8303 SOUTHWEST FWY # 940
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City | HOUSTON
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State | TX
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Zip | 77074-1600
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Country | US
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Telephone | 281-777-1255
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Fax |
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Provider Business Mailing Address
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Address Line | 8303 SOUTHWEST FWY # 940
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City | HOUSTON
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State | TX
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Zip | 77074-1600
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. EMMANUEL M NWORA
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Credential | MD
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Telephone | 281-777-1255
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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 | M2428
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License Number State | TX
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