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General NPI Number Information
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NPI Number | 1912091471
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Entity Type | Organization
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Legal Business Name | ENDOCRINE ASSOCIATES
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 09/27/2022
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Provider Practice Location Address
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Address Line | 5711 ALMEDA RD
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City | HOUSTON
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State | TX
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Zip | 77004-7303
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Country | US
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Telephone | 713-520-8385
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Fax | 713-520-5029
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Provider Business Mailing Address
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Address Line | 5711 ALMEDA RD
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City | HOUSTON
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State | TX
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Zip | 77004-7303
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Country | US
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Telephone | 713-520-8385
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Fax | 713-520-5029
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Authorized Official
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Title or Position | OWNER
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Name | DR. GERARDO BUESO
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Credential | MD
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Telephone | 713-520-8385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | F7711
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | F7711
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License Number State | TX
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