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General NPI Number Information
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NPI Number | 1801578950
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Entity Type | Organization
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Legal Business Name | MSER PHYSICIAN GROUP PLLC
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Dates
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Enumeration Date | 08/07/2023
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Last Update Date | 08/07/2023
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Provider Practice Location Address
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Address Line | 5037B FM 2920 RD
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City | SPRING
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State | TX
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Zip | 77388-3114
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Country | US
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Telephone | 346-899-6737
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Fax | 346-380-2161
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Provider Business Mailing Address
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Address Line | 4057 RILEY FUZZEL RD STE 500-418
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City | SPRING
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State | TX
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Zip | 77386-4632
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KENECHUKWU ENEKEBE
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Credential | MD
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Telephone | 346-899-6737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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