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General NPI Number Information
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NPI Number | 1780086256
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Entity Type | Organization
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Legal Business Name | MEDICAL ASSOCIATES OF CYPRESS PLLC
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Dates
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Enumeration Date | 09/16/2014
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Last Update Date | 10/27/2017
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Provider Practice Location Address
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Address Line | 13121 LOUETTA RD # 1170
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City | CYPRESS
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State | TX
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Zip | 77429-5155
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Country | US
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Telephone | 281-477-0525
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Fax | 281-477-0526
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Provider Business Mailing Address
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Address Line | 13121 LOUETTA RD # 1170
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City | CYPRESS
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State | TX
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Zip | 77429-5155
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Country | US
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Telephone | 281-477-0525
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Fax | 281-477-0526
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Authorized Official
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Title or Position | OWNER
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Name | RANJIT GREWAL
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Credential | MD
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Telephone | 832-257-3595
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | N4441
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License Number State | TX
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