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General NPI Number Information
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NPI Number | 1740855139
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Entity Type | Organization
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Legal Business Name | PLEXUS INJURY CENTERS TX LLC
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Dates
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Enumeration Date | 05/26/2021
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Last Update Date | 05/26/2021
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Provider Practice Location Address
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Address Line | 2646 S LOOP W STE 104
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City | HOUSTON
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State | TX
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Zip | 77054-2677
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Country | US
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Telephone | 832-466-5611
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 BALCONES DR STE 100
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City | AUSTIN
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State | TX
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Zip | 78731-4298
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Country | US
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Telephone | 832-466-5611
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | TERESA ISABEL FLORES
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Credential |
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Telephone | 832-466-5611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZE0600X
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Taxonomy Name | Electroneurodiagnostic Specialist/Technologist
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License Number |
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License Number State |
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