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General NPI Number Information
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NPI Number | 1922468933
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Entity Type | Organization
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Legal Business Name | TEXAS PHYSICIAN ASSOCIATES PLLC
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Dates
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Enumeration Date | 03/03/2016
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Last Update Date | 03/03/2016
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Provider Practice Location Address
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Address Line | 9540 GARLAND RD SUITE 381-251
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City | DALLAS
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State | TX
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Zip | 75218-5004
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Country | US
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Telephone | 877-231-8357
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Fax | 240-558-1318
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Provider Business Mailing Address
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Address Line | 9540 GARLAND RD SUITE 381-251
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City | DALLAS
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State | TX
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Zip | 75218-5004
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Country | US
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Telephone | 877-231-8357
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Fax | 240-558-1318
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Authorized Official
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Title or Position | DIRECTOR
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Name | SHAHRAM N SANI
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Credential | M.D.
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Telephone | 202-631-9400
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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 | P6074
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License Number State | TX
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