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General NPI Number Information
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NPI Number | 1821536681
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Entity Type | Organization
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Legal Business Name | U.S. ANESTHESIA PARTNERS OF TEXAS, P.A.
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Dates
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Enumeration Date | 02/01/2017
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Last Update Date | 02/01/2017
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Provider Practice Location Address
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Address Line | 1500 CITYWEST BLVD STE 300
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City | HOUSTON
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State | TX
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Zip | 77042-2300
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Country | US
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Telephone | 713-458-4169
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Fax | 713-458-4269
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Provider Business Mailing Address
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Address Line | 1500 CITYWEST BLVD STE 300
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City | HOUSTON
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State | TX
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Zip | 77042-2300
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Country | US
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Telephone | 713-458-4169
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Fax | 713-458-4269
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Authorized Official
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Title or Position | DIRECTOR OF CREDENTIALING
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Name | TIFFANY ANN JOLLEY
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Credential |
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Telephone | 713-458-4169
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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