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NPI 1861534828

NPI 1861534828 : ROBERT L MCKOWEN M.D. : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1861534828
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    Entity Type          |    Individual 
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    Provider Name        |    ROBERT L MCKOWEN M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/13/2007
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    Last Update Date     |    03/19/2015
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Provider Practice Location Address
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    Address Line         |    12121 RICHMOND AVE SUITE 325
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77082-2432
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    Country              |    US
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    Telephone            |    281-496-1700
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    Fax                  |    281-496-9081
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Provider Business Mailing Address
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    Address Line         |    12121 RICHMOND AVE SUITE 325
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77082-2432
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    Country              |    US
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    Telephone            |    281-496-1700
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    Fax                  |    281-496-9081
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2086S0129X
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    Taxonomy Name        |    Vascular Surgery Physician
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    License Number       |    H1515
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    208G00000X
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    Taxonomy Name        |    Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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    License Number       |    H1515
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    License Number State |    TX
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