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General NPI Number Information
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NPI Number | 1073023065
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Entity Type | Organization
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Legal Business Name | SOUTH TEXAS ASC, LLC
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Dates
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Enumeration Date | 10/04/2017
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Last Update Date | 02/20/2023
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Provider Practice Location Address
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Address Line | 8122 DATAPOINT DR SUITE 105
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3264
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Country | US
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Telephone | 210-200-6392
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Fax | 210-200-6394
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Provider Business Mailing Address
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Address Line | PO BOX 780849
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City | SAN ANTONIO
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State | TX
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Zip | 78278-0849
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Country | US
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Telephone | 855-882-2849
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Fax | 801-931-2044
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Authorized Official
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Title or Position | CHIEF OPERATIONS OFFICER
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Name | MEGAN LONERGAN
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Credential |
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Telephone | 210-695-2757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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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 | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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