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General NPI Number Information
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NPI Number | 1033841804
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Entity Type | Organization
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Legal Business Name | HEB, LP
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Dates
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Enumeration Date | 06/29/2022
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Last Update Date | 10/25/2023
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Provider Practice Location Address
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Address Line | 13663 FM 1488 RD
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City | MAGNOLIA
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State | TX
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Zip | 77354-1370
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Country | US
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Telephone | 281-252-0251
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Fax | 346-703-3183
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Provider Business Mailing Address
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Address Line | 646 S FLORES ST
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City | SAN ANTONIO
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State | TX
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Zip | 78204-1219
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR THIRD PARTY AFFAIRS
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Name | JAY BUECHE
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Credential |
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Telephone | 210-938-3182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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