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NPI 1982254223

NPI 1982254223 : DEERBROOK ENDO SEDATION PLLC : KINGWOOD, TX

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General NPI Number Information
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    NPI Number           |    1982254223
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    Entity Type          |    Organization 
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    Legal Business Name  |    DEERBROOK ENDO SEDATION PLLC 
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Dates
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    Enumeration Date     |    09/18/2019
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    Last Update Date     |    09/26/2025
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Provider Practice Location Address
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    Address Line         |    310 KINGWOOD EXECUTIVE DR STE A 
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    City                 |    KINGWOOD
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    State                |    TX
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    Zip                  |    77339-2752
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    Country              |    US
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    Telephone            |    832-412-4330
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    Fax                  |    832-412-4331
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Provider Business Mailing Address
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    Address Line         |    310 KINGWOOD EXECUTIVE DR STE A 
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    City                 |    KINGWOOD
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    State                |    TX
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    Zip                  |    77339-2752
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    Country              |    US
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    Telephone            |    844-705-3309
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    Fax                  |    832-412-4331
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     KHANH  LE 
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    Credential           |    MD
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    Telephone            |    713-476-1411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    
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    License Number State |    
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