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General NPI Number Information
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NPI Number | 1992070155
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Entity Type | Organization
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Legal Business Name | CARDIAC CATH LAB OF NW HOUSTON, LP
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Dates
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Enumeration Date | 03/20/2012
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Last Update Date | 09/25/2012
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Provider Practice Location Address
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Address Line | 427 W 20TH ST SUITE 300
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City | HOUSTON
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State | TX
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Zip | 77008-2441
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Country | US
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Telephone | 713-861-0300
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Fax | 713-861-0302
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Provider Business Mailing Address
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Address Line | 427 W 20TH ST SUITE 300
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City | HOUSTON
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State | TX
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Zip | 77008-2441
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Country | US
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Telephone | 713-861-0300
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Fax | 713-861-0302
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Authorized Official
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Title or Position | CHAIRMAN
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Name | WALER E SCHWING JR.
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Credential |
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Telephone | 713-861-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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