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General NPI Number Information
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NPI Number | 1891207601
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Entity Type | Organization
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Legal Business Name | REMIX MEDICAL, PLLC
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Dates
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Enumeration Date | 11/02/2017
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 1724 RICHMOND AVE
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City | HOUSTON
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State | TX
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Zip | 77098
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Country | US
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Telephone | 713-597-5131
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Fax | 713-597-7611
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Provider Business Mailing Address
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Address Line | 9450 SW GEMINI DR # 51007
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City | BEAVERTON
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State | OR
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Zip | 97008-7105
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Country | US
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Telephone | 713-597-5131
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Fax | 713-597-7611
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. UDAY KHOSLA
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Credential | MD
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Telephone | 713-899-4023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | P4780
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | N6799
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | L2965
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License Number State | TX
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