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General NPI Number Information
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NPI Number | 1801131172
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Entity Type | Organization
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Legal Business Name | EMERGENCY HOSPITALS OF TEXAS - LIVINGSTON, PLLC
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Dates
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Enumeration Date | 11/28/2012
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Last Update Date | 11/28/2012
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Provider Practice Location Address
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Address Line | 111 EMERGENCY DRIVE
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City | LIVINGSTON
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State | TX
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Zip | 77351
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Country | US
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Telephone | 832-544-8276
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Fax | 281-837-2252
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Provider Business Mailing Address
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Address Line | 1610 W BAKER RD STE A
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City | BAYTOWN
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State | TX
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Zip | 77521-2279
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Country | US
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Telephone | 832-544-8276
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Fax | 281-837-2252
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | MR. KASHIF H. ANSARI
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Credential | M.D.
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Telephone | 832-221-8072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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