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General NPI Number Information
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NPI Number | 1972556660
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Entity Type | Organization
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Legal Business Name | CY-FAIR BONE & JOINT LLP
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 03/09/2017
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Provider Practice Location Address
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Address Line | 11800 FM 1960 RD W
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City | HOUSTON
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State | TX
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Zip | 77065-3840
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Country | US
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Telephone | 281-664-2107
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Fax | 281-955-5875
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Provider Business Mailing Address
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Address Line | 11800 FM 1960 RD W
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City | HOUSTON
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State | TX
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Zip | 77065-3840
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Country | US
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Telephone | 281-664-2107
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Fax | 281-955-5875
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Authorized Official
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Title or Position | MD/MANAGING PARTNER
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Name | DR. DAVID MACK
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Credential | MD
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Telephone | 281-664-2107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | K6574
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | M0651
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | N2496
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 2080S0010X
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Taxonomy Name | Pediatric Sports Medicine Physician
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License Number | N6827
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | P6096
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | Q1860
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 207PS0010X
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Taxonomy Name | Sports Medicine (Emergency Medicine) Physician
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License Number | Q6465
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License Number State | TX
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Taxonomy #8
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 12013
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License Number State | TX
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Taxonomy #9
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | N8571
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License Number State | TX
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Taxonomy #10
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | J0085
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License Number State | TX
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