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General NPI Number Information
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NPI Number | 1033418173
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Entity Type | Organization
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Legal Business Name | AUSTIN ULTRASOUND SERVICES
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Dates
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Enumeration Date | 03/15/2011
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Last Update Date | 03/15/2011
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Provider Practice Location Address
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Address Line | 1300 NORTH 10TH ST SUITE 340A
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City | MCALLEN
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State | TX
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Zip | 78501
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Country | US
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Telephone | 956-905-0600
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 N 10TH ST 340-A
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City | MCALLEN
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State | TX
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Zip | 78501-2680
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Country | US
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Telephone | 956-905-0600
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Fax |
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Authorized Official
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Title or Position | VASCULAR TECHNOLOGIST
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Name | MR. JUAN J. MARTINEZ
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Credential |
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Telephone | 956-522-3903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number | RVS00069021
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License Number State | TX
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