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Organization
UT PHYSICIANS
Active
Organization
UT PHYSICIANS
Active
Other names
Smith Tower ThSteps
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE L WHITE (PROVIDER ENROLLMENT MANAGER)
(713) 500-6930
Entity
Organization
Contact information
Practice address
6550 FANNIN ST STE 2339, HOUSTON, TX 77030-2747
(713) 795-4847
(713) 795-0774
Mailing address
PO BOX 301173, DALLAS, TX 75303-1173
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111810136
—
TX
Enumeration date
01/05/2021
Last updated
01/06/2021
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