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General NPI Number Information
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NPI Number | 1891768149
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Entity Type | Organization
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Legal Business Name | MEMORIAL OBSTETRICIANS AND GYNECOLOGISTS,P.A.
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 05/05/2015
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Provider Practice Location Address
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Address Line | 1631 NORTH LOOP W SUITE 490
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City | HOUSTON
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State | TX
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Zip | 77008-1500
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Country | US
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Telephone | 713-862-6169
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Fax | 713-862-1003
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Provider Business Mailing Address
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Address Line | 1631 NORTH LOOP W SUITE 490
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City | HOUSTON
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State | TX
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Zip | 77008-1528
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Country | US
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Telephone | 713-862-6169
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Fax | 713-862-1003
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NEELOFER SHAH DURRANI
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Credential | M.D.
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Telephone | 713-862-6169
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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