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Organization
UT PHYSICIANS
Active
Organization
UT PHYSICIANS
Active
Other names
UTP CHWC ROSENBERG THSTEPS
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW R CASAS (CHIEF OPERATING OFFICER)
(832) 325-7325
Entity
Organization
Contact information
Practice address
5115 AVENUE H, STE 701, ROSENBERG, TX 77471-2013
(713) 486-1950
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
—
111810126
—
TX
Enumeration date
12/05/2016
Last updated
12/05/2016
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