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General NPI Number Information
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NPI Number | 1760427801
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Entity Type | Organization
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Legal Business Name | EAST HOUSTON UROLOGY PA
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 02/05/2009
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Provider Practice Location Address
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Address Line | 13111 EAST FWY #108
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City | HOUSTON
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State | TX
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Zip | 77015-5820
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Country | US
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Telephone | 713-637-8200
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Fax | 713-637-8203
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Provider Business Mailing Address
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Address Line | P O BOX 1437 DEPT 00
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City | HOUSTON
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State | TX
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Zip | 77251-1437
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Country | US
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Telephone | 713-637-8200
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Fax | 713-637-8203
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Authorized Official
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Title or Position | DIRECTOR
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Name | ROGER LE
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Credential | MD
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Telephone | 713-637-8200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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