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NPI 1790674794

NPI 1790674794 : AMG HEALTHCARE AND WELLNESS PLLC : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1790674794
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMG HEALTHCARE AND WELLNESS PLLC 
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Dates
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    Enumeration Date     |    07/02/2025
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    Last Update Date     |    07/02/2025
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Provider Practice Location Address
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    Address Line         |    2700 POST OAK BLVD 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77056-5784
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    Country              |    US
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    Telephone            |    305-890-4874
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2700 POST OAK BLVD 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77056-5784
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    Country              |    US
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    Telephone            |    305-890-4874
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    Fax                  |    
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Authorized Official
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    Title or Position    |    ONWER
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    Name                 |     OSA  GUOBADIA 
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    Credential           |    
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    Telephone            |    305-890-4874
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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       |    
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    License Number State |    
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