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General NPI Number Information
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NPI Number | 1780982363
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Entity Type | Organization
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Legal Business Name | HECTOR UBALDO, M.D., P.A.
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Dates
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Enumeration Date | 03/07/2011
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Last Update Date | 03/07/2011
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Provider Practice Location Address
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Address Line | 462 S MASON RD STE 100
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City | KATY
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State | TX
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Zip | 77450-2454
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Country | US
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Telephone | 281-693-5289
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Fax |
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Provider Business Mailing Address
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Address Line | 462 S MASON RD STE 100
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City | KATY
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State | TX
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Zip | 77450-2454
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Country | US
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Telephone | 281-693-5289
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. STEVE WINNETT
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Credential |
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Telephone | 281-693-5289
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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 | K0225
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License Number State | TX
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