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Organization
UT PHYSICIANS SPECIALTY SERVICES
Active
Organization
UT PHYSICIANS SPECIALTY SERVICES
Active
Other names
UTPSS CHWC VICTORY THSTEPS
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW R CASAS (CHIEF OPERATING OFFICER)
(732) 325-7325
Entity
Organization
Contact information
Practice address
7364 ANTOINE DR, HOUSTON, TX 77088-7230
(713) 486-7350
(713) 486-0854
Mailing address
PO BOX 301448, DALLAS, TX 75303-1448
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195996712
—
TX
Enumeration date
04/18/2017
Last updated
05/04/2021
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