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Organization
UT PHYSICIANS
Active
Organization
UT PHYSICIANS
Active
Other names
UT PHYSICIANS TH STEPS FAMILY MEDICINE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW R CASAS (CHIEF OPERATIONS OFFICER)
(832) 325-7317
Entity
Organization
Contact information
Practice address
6410 FANNIN ST, 250, HOUSTON, TX 77030-3000
(832) 325-6500
Mailing address
PO BOX 301173, DALLAS, TX 75303-1088
(713) 500-6930
(713) 500-5484
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121305004
—
TX
Enumeration date
05/10/2007
Last updated
05/11/2021
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