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NPI 1942806351

NPI 1942806351 : DO ANESTHESIA, PLLC : TOMBALL, TX

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General NPI Number Information
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    NPI Number           |    1942806351
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    Entity Type          |    Organization 
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    Legal Business Name  |    DO ANESTHESIA, PLLC 
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Dates
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    Enumeration Date     |    12/10/2020
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    Last Update Date     |    12/10/2020
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Provider Practice Location Address
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    Address Line         |    24727 TX-249 
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    City                 |    TOMBALL
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    State                |    TX
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    Zip                  |    77375
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    Country              |    US
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    Telephone            |    346-336-7800
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    858 WYCLIFFE DR 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77079-3512
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    Country              |    US
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    Telephone            |    713-398-6993
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    Fax                  |    
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Authorized Official
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    Title or Position    |    ANESTHESIOLOGIST
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    Name                 |    DR. YOUNG  AN 
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    Credential           |    MD
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    Telephone            |    713-398-6993
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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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