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General NPI Number Information
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NPI Number | 1952664419
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Entity Type | Organization
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Legal Business Name | HLC ORTHOPEDICS PLLC
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Dates
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Enumeration Date | 06/20/2012
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Last Update Date | 02/07/2014
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Provider Practice Location Address
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Address Line | 1501 RIVER POINTE DR STE 100
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City | CONROE
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State | TX
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Zip | 77304-2860
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Country | US
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Telephone | 936-539-2663
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 RIVER POINTE DR STE 100
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City | CONROE
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State | TX
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Zip | 77304-2860
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Country | US
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Telephone | 936-539-2663
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | HOWARD L CROCKETT
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Credential | MD
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Telephone | 936-539-2663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | E4277
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License Number State | TX
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