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General NPI Number Information
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NPI Number | 1861886079
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Entity Type | Organization
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Legal Business Name | NORTH HOUSTON ANESTHESIOLOGISTS
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Dates
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Enumeration Date | 03/25/2015
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Last Update Date | 06/11/2015
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Provider Practice Location Address
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Address Line | 504 MEDICAL CENTER BLVD
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City | CONROE
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State | TX
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Zip | 77304-2808
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Country | US
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Telephone | 936-539-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 245 FM 1488 RD APT 2006
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City | CONROE
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State | TX
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Zip | 77384-3983
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Country | US
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Telephone | 816-724-5477
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Fax |
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Authorized Official
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Title or Position | ANESTHESIOLOGIST ASSISTANT
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Name | XIAO ZHU
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Credential | AA-C
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Telephone | 816-724-5477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number |
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License Number State |
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