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General NPI Number Information
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NPI Number | 1952447302
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Entity Type | Organization
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Legal Business Name | KOMAL F STOERR MDPA
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 08/24/2011
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Provider Practice Location Address
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Address Line | 5420 WEST LOOP S SUITE 4500
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City | BELLAIRE
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State | TX
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Zip | 77401-2107
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Country | US
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Telephone | 713-529-8787
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Fax | 713-529-8790
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Provider Business Mailing Address
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Address Line | PO BOX 25368
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City | HOUSTON
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State | TX
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Zip | 77265-5368
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Country | US
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Telephone | 832-971-7687
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KOMAL F STOERR
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Credential | M.D.
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Telephone | 832-971-7687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | K1175
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License Number State | TX
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