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General NPI Number Information
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NPI Number | 1982227245
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Entity Type | Organization
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Legal Business Name | MAXXAM HORMONE & HEALTH PLLC
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Dates
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Enumeration Date | 05/21/2020
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Last Update Date | 05/21/2020
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Provider Practice Location Address
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Address Line | 20031 W LAKE HOUSTON PKWY
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City | HUMBLE
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State | TX
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Zip | 77346-3432
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Country | US
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Telephone | 281-883-4038
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Fax |
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Provider Business Mailing Address
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Address Line | 20031 W LAKE HOUSTON PKWY
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City | HUMBLE
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State | TX
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Zip | 77346-3432
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Country | US
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Telephone | 281-883-4038
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Fax | 281-913-5295
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MR. ANDREW PATRICK KRETSCHMER
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Credential | MD
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Telephone | 281-883-4038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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