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General NPI Number Information
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NPI Number | 1750749313
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Entity Type | Organization
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Legal Business Name | PSG MID-CITIES MEDICAL CENTER, LLC
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Dates
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Enumeration Date | 02/10/2016
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Last Update Date | 02/10/2016
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Provider Practice Location Address
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Address Line | 1612 HURST TOWN CENTER DR
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City | HURST
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State | TX
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Zip | 76054-6236
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Country | US
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Telephone | 214-572-7131
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Fax |
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Provider Business Mailing Address
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Address Line | 1612 HURST TOWN CENTER DR
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City | HURST
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State | TX
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Zip | 76054-6236
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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 | CHIEF EXECUTIVE OFFICER
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Name | CORAZON RAMIREZ
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Credential | M.D.
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Telephone | 214-572-7131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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