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General NPI Number Information
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NPI Number | 1902621329
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Entity Type | Organization
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Legal Business Name | EM ALLIANCE TEXAS, PLLC
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Dates
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Enumeration Date | 11/20/2024
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 1501 S COULTER ST
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City | AMARILLO
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State | TX
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Zip | 79106-1770
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Country | US
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Telephone | 561-203-0611
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Fax | 561-203-1992
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Provider Business Mailing Address
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Address Line | 2326 S CONGRESS AVE STE 2D
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-7614
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Country | US
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Telephone | 561-203-0611
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Fax | 561-203-1992
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MAURICIO GOMEZ
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Credential | MD
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Telephone | 561-203-0611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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