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NPI 1790241537

NPI 1790241537 : WINSOME HEALTH MANAGEMENT GROUP : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1790241537
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    Entity Type          |    Organization 
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    Legal Business Name  |    WINSOME HEALTH MANAGEMENT GROUP 
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Dates
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    Enumeration Date     |    02/18/2019
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    Last Update Date     |    11/17/2020
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Provider Practice Location Address
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    Address Line         |    2925 RICHMOND AVE STE 1200 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77098-3143
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    Country              |    US
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    Telephone            |    713-464-7555
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    Fax                  |    832-308-1272
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Provider Business Mailing Address
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    Address Line         |    2925 RICHMOND AVE STE 1200 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77098-3143
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    Country              |    US
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    Telephone            |    713-464-7555
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    Fax                  |    832-308-1272
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     FAHAD  SYED 
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    Credential           |    MD
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    Telephone            |    713-464-7555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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