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General NPI Number Information
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NPI Number | 1780816587
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Entity Type | Organization
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Legal Business Name | HYGEIA WELLNESS, PA
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Dates
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Enumeration Date | 08/13/2009
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Last Update Date | 08/13/2009
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Provider Practice Location Address
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Address Line | 8885 W BELLFORT ST SUITE C
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City | HOUSTON
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State | TX
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Zip | 77031-2567
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Country | US
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Telephone | 713-771-6200
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Fax | 713-771-4898
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Provider Business Mailing Address
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Address Line | 8885 W BELLFORT ST SUITE C
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City | HOUSTON
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State | TX
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Zip | 77031-2567
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Country | US
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Telephone | 713-771-6200
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Fax | 713-771-4898
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Authorized Official
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Title or Position | OWNER
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Name | PEDRO L GONZALEZ
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Credential | MD
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Telephone | 713-771-6200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | M8683
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License Number State | TX
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