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General NPI Number Information
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NPI Number | 1902927270
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Entity Type | Organization
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Legal Business Name | SUGAR LAND ENT AND SLEEP CENTER, PA
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 02/02/2021
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Provider Practice Location Address
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Address Line | 6921 BRISBANE CT STE 210
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City | SUGAR LAND
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State | TX
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Zip | 77479-7094
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Country | US
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Telephone | 281-556-1102
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Fax | 281-556-1340
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Provider Business Mailing Address
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Address Line | 6921 BRISBANE CT STE 210
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City | SUGAR LAND
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State | TX
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Zip | 77479-7094
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Country | US
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Telephone | 281-556-1102
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Fax | 281-556-1340
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Authorized Official
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Title or Position | SOLE PROVIDER
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Name | DR. JAMES J. LUDWICK
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Credential | MD
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Telephone | 281-556-1102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | L9330
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License Number State | TX
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