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General NPI Number Information
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NPI Number | 1811126162
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Entity Type | Organization
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Legal Business Name | PIERRE PHYSICIAN GROUP P.A.
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Dates
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Enumeration Date | 07/08/2009
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Last Update Date | 02/21/2021
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Provider Practice Location Address
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Address Line | 1315 ST JOSEPH PKWY SUITE 1503
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City | HOUSTON
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State | TX
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Zip | 77002-8233
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Country | US
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Telephone | 713-655-0073
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Fax | 713-655-1332
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Provider Business Mailing Address
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Address Line | 2450 LOUISIANA ST STE 400 PMB 504
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City | HOUSTON
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State | TX
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Zip | 77006-2318
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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 | PHYSICIAN
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Name | DR. MARIETTE PIERRE
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Credential | MD
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Telephone | 713-655-0073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | L8475
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License Number State | TX
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