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General NPI Number Information
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NPI Number | 1831869353
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Entity Type | Organization
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Legal Business Name | MORTEXA LLC
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Dates
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Enumeration Date | 09/16/2021
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Last Update Date | 09/16/2021
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Provider Practice Location Address
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Address Line | 9226 JENSEN DR
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City | HOUSTON
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State | TX
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Zip | 77093-6932
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Country | US
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Telephone | 832-716-8201
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Fax |
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Provider Business Mailing Address
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Address Line | 8023 FARTHING LN
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City | ROSHARON
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State | TX
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Zip | 77583-1149
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Country | US
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Telephone | 832-716-8201
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CELESTINE NNOLIM
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Credential |
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Telephone | 832-716-8201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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