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General NPI Number Information
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NPI Number | 1881871143
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Entity Type | Organization
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Legal Business Name | GARY HORNDESKI MD PA
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Dates
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Enumeration Date | 01/29/2008
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Last Update Date | 04/12/2012
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Provider Practice Location Address
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Address Line | 14887 SOUTHWEST FWY
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City | SUGAR LAND
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State | TX
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Zip | 77478-5016
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Country | US
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Telephone | 281-565-8099
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Fax | 281-565-9637
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Provider Business Mailing Address
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Address Line | 14887 SOUTHWEST FWY
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City | SUGAR LAND
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State | TX
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Zip | 77478-5016
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Country | US
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Telephone | 281-565-8099
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Fax | 281-565-9637
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Authorized Official
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Title or Position | OFFICER
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Name | GARY HORNDESKI
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Credential | MD
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Telephone | 281-565-8099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G2390
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License Number State | TX
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