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Organization
UT PHYSICIANS
Active
Organization
UT PHYSICIANS
Active
Other names
UTP CONVENIENT CARE -CYPRESS
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW CASAS (CHIEF OPERATING OFFICER)
(832) 325-7325
Entity
Organization
Contact information
Practice address
27700 NORTHWEST FWY, CYPRESS, TX 77433-6766
(346) 231-6800
Mailing address
PO BOX 301173, DALLAS, TX 75303-1173
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111810132
—
TX
Enumeration date
06/29/2017
Last updated
06/29/2017
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