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General NPI Number Information
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NPI Number | 1881811339
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Entity Type | Organization
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Legal Business Name | HOUSTON OB GYN GROUP
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7400 FANNIN ST SUITE 930
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City | HOUSTON
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State | TX
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Zip | 77054-1920
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Country | US
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Telephone | 713-796-8200
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Fax | 713-796-8203
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Provider Business Mailing Address
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Address Line | 7400 FANNIN ST SUITE 930
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City | HOUSTON
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State | TX
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Zip | 77054-1920
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Country | US
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Telephone | 713-796-8200
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Fax | 713-796-8203
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Authorized Official
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Title or Position | PRESIDENT
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Name | KELLY E WILSON
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Credential | MD
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Telephone | 713-796-8200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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