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General NPI Number Information
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NPI Number | 1841617982
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Entity Type | Organization
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Legal Business Name | RENAL SUCCESS, PLLC
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Dates
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Enumeration Date | 03/26/2014
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Last Update Date | 01/10/2017
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Provider Practice Location Address
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Address Line | 902 FROSTWOOD DR SUITE 270
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City | HOUSTON
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State | TX
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Zip | 77024-2420
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Country | US
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Telephone | 832-857-1848
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Fax | 713-456-3507
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Provider Business Mailing Address
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Address Line | PO BOX 25405
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City | HOUSTON
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State | TX
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Zip | 77265-5405
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Country | US
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Telephone | 713-320-4312
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Fax | 713-456-3507
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ELSON THOMAS
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Credential | MD
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Telephone | 713-320-4312
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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 | N4154
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | N4154
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License Number State | TX
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