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Organization
UAP NORTH FREEWAY ENDO, PLLC
Active
Organization
UAP NORTH FREEWAY ENDO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY GONZALES (ADMINISTRATOR/AUTHORIZED OFFICIAL)
(713) 694-6066
Entity
Organization
Contact information
Practice address
1900 NORTH LOOP W, SUITE 500, HOUSTON, TX 77018-8100
(713) 457-2750
(713) 457-2751
Mailing address
1900 NORTH LOOP W, 390, HOUSTON, TX 77018-8100
(713) 694-6066
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003YU
BCBS OF TEXAS
TX
01
—
00C88Z
BCBS OF TEXAS
TX
05
—
336323601
—
TX
Enumeration date
03/01/2013
Last updated
10/07/2016
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