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General NPI Number Information
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NPI Number | 1942789995
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Entity Type | Organization
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Legal Business Name | TEXAN FOOT CARE CLINIC, PLLC
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Dates
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Enumeration Date | 08/10/2018
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Last Update Date | 12/20/2018
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Provider Practice Location Address
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Address Line | 1315 ST JOSEPH PKWY STE 301
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City | HOUSTON
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State | TX
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Zip | 77002-8229
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Country | US
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Telephone | 346-204-5528
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Fax |
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Provider Business Mailing Address
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Address Line | 1315 ST JOSEPH PKWY STE 301
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City | HOUSTON
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State | TX
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Zip | 77002-8229
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Country | US
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Telephone | 346-204-5528
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. YERMESHA L KYLE
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Credential | D.P.M.
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Telephone | 832-244-0373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 2269
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License Number State | TX
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