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Organization
UT PHYSICIANS
Active
Organization
UT PHYSICIANS
Active
Other names
UT PHYSICIANS BELLAIRE TH STEPS
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW CASAS (CHIEF OPERATING OFFICER)
(832) 325-7317
Entity
Organization
Contact information
Practice address
6700 WEST LOOP S, 520, BELLAIRE, TX 77401-4104
(713) 572-8122
Mailing address
6700 WEST LOOP S, STE 520, BELLAIRE, TX 77401-4104
(713) 572-8122
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111810108
—
TX
Enumeration date
10/17/2013
Last updated
10/31/2013
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