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General NPI Number Information
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NPI Number | 1851382055
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Entity Type | Organization
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Legal Business Name | HEART OF TEXAS SURGICAL SERVICES
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Dates
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Enumeration Date | 11/04/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 118 S PARK DR SUITE D
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City | BROWNWOOD
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State | TX
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Zip | 76801-5957
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Country | US
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Telephone | 325-641-2384
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Fax | 325-641-0418
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Provider Business Mailing Address
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Address Line | 118 S PARK DR SUITE D
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City | BROWNWOOD
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State | TX
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Zip | 76801-5957
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Country | US
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Telephone | 325-641-2384
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Fax | 325-641-0418
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LORA ANN REED
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Credential |
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Telephone | 325-641-2384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State | TX
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