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NPI 1801667993

NPI 1801667993 : HYPERBARIC PHYSICIANS OF TEXAS : HUMBLE, TX

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General NPI Number Information
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    NPI Number           |    1801667993
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    Entity Type          |    Organization 
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    Legal Business Name  |    HYPERBARIC PHYSICIANS OF TEXAS 
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Dates
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    Enumeration Date     |    01/09/2024
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    Last Update Date     |    01/09/2024
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Provider Practice Location Address
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    Address Line         |    18525 W LAKE HOUSTON PKWY STE 104 
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    City                 |    HUMBLE
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    State                |    TX
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    Zip                  |    77346-3446
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    Country              |    US
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    Telephone            |    281-713-6543
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    Fax                  |    936-233-8298
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Provider Business Mailing Address
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    Address Line         |    18525 W LAKE HOUSTON PKWY STE 104 
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    City                 |    HUMBLE
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    State                |    TX
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    Zip                  |    77346-3446
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    Country              |    US
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    Telephone            |    281-713-6543
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    Fax                  |    936-233-8298
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Authorized Official
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    Title or Position    |    PROGRAM DIRECTOR
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    Name                 |     BRAD  COPUS 
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    Credential           |    
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    Telephone            |    832-364-3750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2083P0011X
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    Taxonomy Name        |    Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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    License Number       |    
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    License Number State |    
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