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General NPI Number Information
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NPI Number | 1942924618
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Entity Type | Organization
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Legal Business Name | WOODLANDS CARDIOVASCULAR CENTER PLLC
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Dates
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Enumeration Date | 09/27/2022
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 128 VISION PARK BLVD STE 130
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City | SHENANDOAH
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State | TX
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Zip | 77384-3021
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Country | US
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Telephone | 347-205-3490
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Fax |
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Provider Business Mailing Address
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Address Line | 128 VISION PARK BLVD STE 130
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City | SHENANDOAH
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State | TX
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Zip | 77384-3021
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Country | US
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Telephone | 347-205-3490
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Fax |
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Authorized Official
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Title or Position | OWNER/SOLE MEMBER
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Name | EMMANUEL ACHU
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Credential | MD
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Telephone | 347-205-3490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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