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NPI 1023175239

NPI 1023175239 : ALLERGY, ASTHMA & IMMUNOLOGY ASSOCIATES OF SOUTH TEXAS, P.A. : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1023175239
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALLERGY, ASTHMA & IMMUNOLOGY ASSOCIATES OF SOUTH TEXAS, P.A. 
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Dates
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    Enumeration Date     |    01/03/2007
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    Last Update Date     |    01/29/2025
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Provider Practice Location Address
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    Address Line         |    2424 BABCOCK RD STE 301 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78229-6031
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    Country              |    US
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    Telephone            |    210-616-0882
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    Fax                  |    210-692-7833
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Provider Business Mailing Address
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    Address Line         |    2424 BABCOCK RD STE 301 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78229-6031
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    Country              |    US
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    Telephone            |    210-616-0882
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    Fax                  |    210-692-7833
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Authorized Official
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    Title or Position    |    CHIEF HUMAN RESOURCE OFFICER
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    Name                 |    DR. TATIANA  SCSCHEVA-JOHNSON 
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    Credential           |    
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    Telephone            |    770-501-1343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207KA0200X
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    Taxonomy Name        |    Allergy Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207K00000X
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    Taxonomy Name        |    Allergy & Immunology Physician
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    License Number       |    
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    License Number State |    
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