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General NPI Number Information
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NPI Number | 1043423130
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Entity Type | Organization
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Legal Business Name | CREEDMOOR ORTHOPEDICS, P.A.
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 03/09/2009
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Provider Practice Location Address
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Address Line | 4212 E SOUTHCROSS BLVD STE# 210
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City | SAN ANTONIO
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State | TX
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Zip | 78222-3735
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Country | US
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Telephone | 210-448-1140
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Fax | 210-448-1144
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Provider Business Mailing Address
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Address Line | 4212 E SOUTHCROSS BLVD SUITE#210
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City | SAN ANTONIO
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State | TX
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Zip | 78222-3735
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Country | US
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Telephone | 210-448-1140
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Fax | 210-448-1144
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Authorized Official
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Title or Position | CEO CREEDMOOR ORTHOPEDICS, PA
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Name | FRANK WILLIAM SCHROEDER JR.
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Credential | D.O.
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Telephone | 956-207-6458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | K4234
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License Number State | TX
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