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General NPI Number Information
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NPI Number | 1780672055
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Entity Type | Organization
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Legal Business Name | THE PATIENT'S ANESTHESIA GROUP PA
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Dates
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Enumeration Date | 10/11/2005
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Last Update Date | 10/19/2015
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Provider Practice Location Address
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Address Line | 500 W MEDICAL CENTER BLVD
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City | WEBSTER
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State | TX
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Zip | 77598-4220
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Country | US
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Telephone | 281-338-3768
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Fax | 281-338-3915
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Provider Business Mailing Address
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Address Line | PO BOX 3945 DEPT 336
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City | HOUSTON
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State | TX
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Zip | 77253-3945
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Country | US
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Telephone | 281-358-8114
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Fax | 281-358-0609
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DONALD MCALLEN CLINE
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Credential | MD
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Telephone | 409-938-5361
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | K8085
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License Number State | TX
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