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General NPI Number Information
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NPI Number | 1922690122
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Entity Type | Organization
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Legal Business Name | GALLERIA PAIN PHYSICIANS PLLC
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Dates
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Enumeration Date | 02/09/2021
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Last Update Date | 02/09/2021
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Provider Practice Location Address
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Address Line | 707 S FRY RD STE 290
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City | KATY
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State | TX
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Zip | 77450-2258
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Country | US
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Telephone | 281-646-9252
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Fax | 281-817-1179
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Provider Business Mailing Address
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Address Line | PO BOX 690572
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City | HOUSTON
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State | TX
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Zip | 77269-0572
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Country | US
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Telephone | 281-646-9252
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Fax | 281-817-1179
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | KEVIN S BARTON
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Credential | DC
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Telephone | 210-885-6752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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