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General NPI Number Information
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NPI Number | 1891707220
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Entity Type | Organization
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Legal Business Name | BRAZOS ORTHOPAEDICS LLP
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 06/21/2010
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Provider Practice Location Address
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Address Line | 12121 RICHMOND AVE STE 425
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City | HOUSTON
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State | TX
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Zip | 77082-2457
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Country | US
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Telephone | 281-558-0722
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Fax |
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Provider Business Mailing Address
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Address Line | 12121 RICHMOND AVE STE 425
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City | HOUSTON
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State | TX
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Zip | 77082-2457
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Country | US
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Telephone | 281-558-0722
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. RONALD L FRASER
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Credential | MD
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Telephone | 281-558-0722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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