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General NPI Number Information
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NPI Number | 1821211145
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Entity Type | Organization
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Legal Business Name | BARKER CYPRESS FAMILY PRACTICE, PA
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 07/15/2010
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Provider Practice Location Address
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Address Line | 9740 BARKER CYPRESS RD STE 116
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City | CYPRESS
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State | TX
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Zip | 77433-1975
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Country | US
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Telephone | 281-550-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 9740 BARKER CYPRESS RD STE 116
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City | CYPRESS
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State | TX
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Zip | 77433-1975
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Country | US
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Telephone | 281-550-7600
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TOMMY VO
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Credential | MD
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Telephone | 281-550-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | K7936
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License Number State | TX
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