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General NPI Number Information
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NPI Number | 1902010036
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Entity Type | Organization
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Legal Business Name | AURORA GONZALEZ M.D. & FERNANDO R. BUESO M.D.,P.A.
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1315 ST JOSEPH PKWY SUITE # 1507
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City | HOUSTON
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State | TX
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Zip | 77002-8233
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Country | US
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Telephone | 713-757-1075
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Fax | 713-652-3918
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Provider Business Mailing Address
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Address Line | 1315 ST JOSEPH PKWY SUITE # 1507
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City | HOUSTON
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State | TX
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Zip | 77002-8233
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Country | US
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Telephone | 713-757-1075
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Fax | 713-652-3918
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Authorized Official
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Title or Position | CONTROLLER
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Name | MR. TED ECKENROD
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Credential |
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Telephone | 713-757-1076
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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 | E8363
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License Number State | TX
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