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Organization
UT PHYSICIANS SPECIALTY SERVICES
Active
Organization
UT PHYSICIANS SPECIALTY SERVICES
Active
Other names
UTPSS CINCO RANCH THSTEPS ACO
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW R CASAS (CHIEF OPERATING OFFICER)
(832) 325-7325
Entity
Organization
Contact information
Practice address
23923 CINCO RANCH BLVD, KATY, TX 77494-3399
(713) 486-5300
Mailing address
PO BOX 301448, DALLAS, TX 75303-1448
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195996709
—
TX
Enumeration date
12/05/2016
Last updated
12/05/2016
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