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Organization
UT PHYSICIANS - TRAUMA SERVICES
Active
Organization
UT PHYSICIANS - TRAUMA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW R CASAS (CHIEF OPERATING OFFICER)
(832) 325-7317
Entity
Organization
Contact information
Practice address
6410 FANNIN ST, 1500, HOUSTON, TX 77030-3000
(832) 325-7125
(713) 892-5500
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-3500
(713) 500-8630
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
—
NULL
2086S0127X
Trauma Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018WN
BCBSTX
TX
05
—
280812301
—
TX
01
—
280812302
CSHCN
TX
Enumeration date
11/14/2010
Last updated
11/01/2011
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