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General NPI Number Information
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NPI Number | 1750722815
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Entity Type | Organization
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Legal Business Name | MEDICAL INVESTMENT GROUP, LLC
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Dates
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Enumeration Date | 07/17/2013
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Last Update Date | 11/29/2020
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Provider Practice Location Address
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Address Line | 7790 W GRAND PKWY S SUITE 204
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City | RICHMOND
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State | TX
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Zip | 77406
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Country | US
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Telephone | 832-744-8484
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Fax |
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Provider Business Mailing Address
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Address Line | 8019 W GRAND PKWY S SUITE 1060 #404
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City | RICHMOND
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State | TX
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Zip | 77407-1601
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Country | US
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Telephone | 832-744-8484
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FAISAL A PIRZADA
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Credential | M.D.
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Telephone | 832-744-8484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | K8816
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License Number State | TX
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