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General NPI Number Information
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NPI Number | 1962850024
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Entity Type | Individual
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Provider Name | CARLOS GARCIA-JASSO M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/31/2016
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 18321 W LAKE HOUSTON PKWY STE 100
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City | KINGWOOD
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State | TX
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Zip | 77346-3587
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Country | US
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Telephone | 281-359-7000
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Fax | 281-359-5833
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Provider Business Mailing Address
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Address Line | 350 KINGWOOD MEDICAL DR STE 350
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City | KINGWOOD
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State | TX
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Zip | 77339-6406
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Country | US
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Telephone | 281-359-7000
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Fax | 281-359-5833
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | BP10057064
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | S4142
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License Number State | TX
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