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General NPI Number Information
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NPI Number | 1992074033
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Entity Type | Organization
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Legal Business Name | RAMANA SURYA D.O., P.A.
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Dates
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Enumeration Date | 12/19/2011
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Last Update Date | 03/09/2012
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Provider Practice Location Address
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Address Line | 21308 PROVINCIAL BLVD
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City | KATY
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State | TX
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Zip | 77450-7580
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Country | US
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Telephone | 281-206-8201
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Fax | 281-206-8206
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Provider Business Mailing Address
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Address Line | 21308 PROVINCIAL BLVD
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City | KATY
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State | TX
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Zip | 77450-7580
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Country | US
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Telephone | 281-206-8201
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Fax | 281-206-8206
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAMANA SURYA
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Credential | D.O.
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Telephone | 281-206-8201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | L1473
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License Number State | TX
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