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General NPI Number Information
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NPI Number | 1043047103
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Entity Type | Organization
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Legal Business Name | ALAMO HEIGHTS MIND AND WELLNESS CENTER PLLC
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Dates
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Enumeration Date | 09/13/2024
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 790 GENERATIONS DR STE 205
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-0087
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Country | US
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Telephone | 210-240-5217
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Fax |
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Provider Business Mailing Address
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Address Line | 1428 BUCKNER PL
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City | SAN ANTONIO
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State | TX
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Zip | 78253-4216
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Country | US
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Telephone | 210-676-5940
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Fax |
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Authorized Official
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Title or Position | MANAGER/OFFICER
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Name | RODNEY HO HO
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Credential | PA-C
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Telephone | 210-676-5940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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