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General NPI Number Information
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NPI Number | 1801422092
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Entity Type | Organization
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Legal Business Name | FORT BEND FAMILY HEALTH CENTER, INC.
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Dates
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Enumeration Date | 03/19/2020
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Last Update Date | 06/30/2020
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Provider Practice Location Address
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Address Line | 400 AUSTIN ST
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City | RICHMOND
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State | TX
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Zip | 77469-4406
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Country | US
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Telephone | 281-342-4530
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Fax | 281-633-3192
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Provider Business Mailing Address
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Address Line | 400 AUSTIN ST
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City | RICHMOND
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State | TX
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Zip | 77469-4498
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Country | US
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Telephone | 281-342-4530
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MICHAEL ROCKY DOTSON
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Credential |
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Telephone | 281-633-3170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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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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