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General NPI Number Information
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NPI Number | 1942041736
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Entity Type | Organization
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Legal Business Name | TEXAS FAMILY HEALTH
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Dates
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Enumeration Date | 06/04/2024
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 6011 GRANITE SHADOW LN
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City | PORTER
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State | TX
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Zip | 77365-6881
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Country | US
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Telephone | 281-658-1979
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Fax |
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Provider Business Mailing Address
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Address Line | 7544 FM 1960 RD E STE 428S
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City | HUMBLE
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State | TX
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Zip | 77346-3127
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Country | US
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Telephone | 281-658-1979
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | NINA ANN DAVIS DILLARD
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Credential | RN
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Telephone | 281-658-1979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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