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General NPI Number Information
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NPI Number | 1841643327
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Entity Type | Organization
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Legal Business Name | VILLAGEMD OF SOUTHEAST TEXAS, PA
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Dates
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Enumeration Date | 07/19/2016
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 9055 KATY FWY STE 200
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City | HOUSTON
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State | TX
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Zip | 77024-1629
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Country | US
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Telephone | 346-646-4954
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Fax | 713-461-5307
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Provider Business Mailing Address
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Address Line | PO BOX 20771
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City | BELFAST
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State | ME
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Zip | 04915-4104
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Country | US
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Telephone | 713-461-2915
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Fax | 713-461-5307
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Authorized Official
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Title or Position | DIRECTOR OF REVENUE CYCLE
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Name | REBECCA RAGER
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Credential |
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Telephone | 832-257-6915
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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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 | 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 #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #5
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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 #6
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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