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General NPI Number Information
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NPI Number | 1891551651
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Entity Type | Organization
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Legal Business Name | BAYTOWN SURGERY CENTER, PLLC
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Dates
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Enumeration Date | 02/27/2024
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Last Update Date | 02/27/2024
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Provider Practice Location Address
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Address Line | 720 1/2 ROLLINGBROOK DR
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City | BAYTOWN
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State | TX
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Zip | 77521-4059
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Country | US
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Telephone | 281-422-8818
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Fax | 281-422-8096
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Provider Business Mailing Address
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Address Line | 720 1/2 ROLLINGBROOK DR
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City | BAYTOWN
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State | TX
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Zip | 77521-4059
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Country | US
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Telephone | 281-422-8818
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Fax | 281-422-8096
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Authorized Official
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Title or Position | OWNER
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Name | JEROME CARTER
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Credential | MD
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Telephone | 832-741-9854
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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