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General NPI Number Information
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NPI Number | 1891002465
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Entity Type | Organization
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Legal Business Name | HARRIS COUNTY PSYCHIATRIC PLLC
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Dates
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Enumeration Date | 09/02/2010
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Last Update Date | 01/29/2014
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Provider Practice Location Address
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Address Line | 3222 BURKE RD SUITE # 107
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City | PASADENA
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State | TX
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Zip | 77504-1859
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Country | US
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Telephone | 713-239-0356
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 591695
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City | HOUSTON
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State | TX
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Zip | 77259-1695
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Country | US
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Telephone | 713-239-0356
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Fax |
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Authorized Official
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Title or Position | AGENT
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Name | KRISHNA KISHORE KAMBHAMPATI
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Credential | M.D
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Telephone | 713-239-0356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | N4506
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License Number State | TX
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