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Organization
UT PHYSICIANS SPECIALTY SERVICES
Active
Organization
UT PHYSICIANS SPECIALTY SERVICES
Active
Other names
UT PHYSICIANS ACO CEO PEDI LOCKWOOD
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW R CASAS (CHIEF OPERATING OFFICER)
(832) 325-7325
Entity
Organization
Contact information
Practice address
5516 LOCKWOOD DR., HOUSTON, TX 77026-1919
(713) 497-0000
Mailing address
PO BOX 301448, DALLAS, TX 75303-1448
(713) 497-0000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195996726
—
TX
Enumeration date
08/22/2018
Last updated
08/22/2018
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