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General NPI Number Information
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NPI Number | 1871868497
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Entity Type | Organization
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Legal Business Name | ANDRES MESA MD PA
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Dates
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Enumeration Date | 03/14/2012
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Last Update Date | 03/26/2018
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Provider Practice Location Address
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Address Line | 888 NORMANDY ST
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City | HOUSTON
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State | TX
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Zip | 77015-4940
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Country | US
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Telephone | 832-834-6678
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Fax | 832-834-6672
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Provider Business Mailing Address
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Address Line | 888 NORMANDY ST
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City | HOUSTON
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State | TX
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Zip | 77015-4940
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Country | US
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Telephone | 832-834-6678
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Fax | 832-834-6672
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. ANDRES MESA
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Credential | MD
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Telephone | 832-834-6678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | K4957
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License Number State | TX
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