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General NPI Number Information
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NPI Number | 1902584865
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Entity Type | Organization
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Legal Business Name | TOMBALL HEALTH MEDICAL CLINIC PLLC
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 11023 NORTHPOINTE BLVD STE F
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City | TOMBALL
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State | TX
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Zip | 77375-2340
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Country | US
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Telephone | 281-205-7085
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Fax | 877-288-1193
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Provider Business Mailing Address
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Address Line | 11023 NORTHPOINTE BLVD STE F
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City | TOMBALL
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State | TX
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Zip | 77375-2340
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Country | US
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Telephone | 281-205-7085
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Fax | 877-288-1193
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. VIRGINIA M MILLS
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Credential | MD
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Telephone | 281-205-7085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP0904X
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Taxonomy Name | Federal Public Health Clinic/Center
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Taxonomy #3
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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Taxonomy #4
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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