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Organization
UT PHYSICIANS
Active
Organization
UT PHYSICIANS
Active
Other names
UT Physicians High Risk Children's Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE L WHITE (MANAGER, PROVIDER ENROLLMENT)
(713) 500-6930
Entity
Organization
Contact information
Practice address
6410 FANNIN ST STE 470, HOUSTON, TX 77030-3008
(832) 325-7196
Mailing address
PO BOX 301173, DALLAS, TX 75303-1173
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
08/09/2022
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