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General NPI Number Information
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NPI Number | 1851592364
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Entity Type | Organization
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Legal Business Name | INRAD HOUSTON, LP
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5445 LA BRANCH ST
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City | HOUSTON
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State | TX
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Zip | 77004-6835
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Country | US
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Telephone | 832-282-5867
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Fax |
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Provider Business Mailing Address
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Address Line | 11659 JONES RD PMB 115
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City | HOUSTON
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State | TX
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Zip | 77070-5903
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Country | US
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Telephone | 281-894-1213
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Fax | 281-894-0968
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | DAVID VOSSLER
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Credential | CMD
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Telephone | 281-894-1213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number |
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License Number State |
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