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General NPI Number Information
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NPI Number | 1942626320
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Entity Type | Organization
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Legal Business Name | PEARLAND ANESTHESIA PLLC
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Dates
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Enumeration Date | 03/10/2014
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Last Update Date | 03/10/2014
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Provider Practice Location Address
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Address Line | 15015 KIRBY DR SUITE 100
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City | HOUSTON
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State | TX
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Zip | 77047-2580
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Country | US
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Telephone | 832-255-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 2525 NORTH LOOP W SUITE 210
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City | HOUSTON
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State | TX
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Zip | 77008-1038
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | NATARAJAN S BALA
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Credential | MD
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Telephone | 713-623-2079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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