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General NPI Number Information
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NPI Number | 1780168500
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Entity Type | Organization
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Legal Business Name | KIRBY MEDICAL ASSOCIATES, PLLC
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Dates
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Enumeration Date | 09/18/2018
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Last Update Date | 09/18/2018
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Provider Practice Location Address
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Address Line | 15015 KIRBY DR STE 200
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City | HOUSTON
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State | TX
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Zip | 77047-2587
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Country | US
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Telephone | 128-189-2241
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Fax | 832-448-0020
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Provider Business Mailing Address
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Address Line | 17043 EL CAMINO REAL STE 102
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City | HOUSTON
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State | TX
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Zip | 77058-2655
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Country | US
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Telephone | 281-954-0100
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Fax | 281-954-0105
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Authorized Official
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Title or Position | PRESIDENT
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Name | NATARAJAN S BALA
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Credential | MD
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Telephone | 281-892-2412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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