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General NPI Number Information
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NPI Number | 1063183077
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Entity Type | Organization
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Legal Business Name | EMERGENCY PHYSICIANS OF EAGLE PASS, PLLC
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Dates
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Enumeration Date | 09/21/2021
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Last Update Date | 09/21/2021
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Provider Practice Location Address
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Address Line | 2114 N VETERANS BLVD
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City | EAGLE PASS
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State | TX
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Zip | 78852-7718
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Country | US
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Telephone | 830-522-3000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 451918
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City | HOUSTON
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State | TX
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Zip | 77245-1918
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Country | US
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Telephone | 346-250-3500
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Fax | 832-365-6147
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | SERGIO ZAMORA
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Credential | MD
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Telephone | 830-352-2519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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