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Organization
UT PHYSICIANS
Active
Organization
UT PHYSICIANS
Active
Other names
UT PHYSICIANS PED HCHD COMP CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW R CASAS (COO)
(832) 325-7325
Entity
Organization
Contact information
Practice address
5516 LOCKWOOD DR, HOUSTON, TX 77026-1919
(713) 566-5656
Mailing address
PO BOX 301173, DALLAS, TX 75303-1173
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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