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General NPI Number Information
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NPI Number | 1063472678
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Entity Type | Individual
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Provider Name | PETER ALAN TARBOX M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 5441 BABCOCK RD SUITE 301
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City | SAN ANTONIO
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State | TX
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Zip | 78240-3993
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Country | US
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Telephone | 210-641-1394
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Fax | 210-561-2846
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Provider Business Mailing Address
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Address Line | 5441 BABCOCK RD SUITE 301
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City | SAN ANTONIO
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State | TX
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Zip | 78240-3993
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Country | US
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Telephone | 210-641-1394
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Fax | 210-561-2846
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | K6358
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License Number State | TX
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