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General NPI Number Information
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NPI Number | 1871764894
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Entity Type | Organization
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Legal Business Name | HOUSTON NORTH MEDICAL SERVICES
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Dates
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Enumeration Date | 03/18/2008
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Last Update Date | 12/11/2008
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Provider Practice Location Address
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Address Line | 12704 NORTH FWY
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City | HOUSTON
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State | TX
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Zip | 77060-1227
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Country | US
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Telephone | 281-876-7246
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Fax | 281-876-7247
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Provider Business Mailing Address
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Address Line | 12704 NORTH FWY
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City | HOUSTON
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State | TX
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Zip | 77060-1227
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Country | US
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Telephone | 281-876-7246
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Fax | 281-876-7247
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Authorized Official
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Title or Position | M.D
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Name | DR. ROSA FUENTES
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Credential | M.D.
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Telephone | 281-876-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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