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General NPI Number Information
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NPI Number | 1083737647
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Entity Type | Organization
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Legal Business Name | AGUIRRE PRACTICE OF PEDIATRICS PLLC
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 2515 CASTROVILLE RD STE 103
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City | SAN ANTONIO
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State | TX
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Zip | 78237-3359
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Country | US
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Telephone | 210-433-0366
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Fax | 210-433-2622
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Provider Business Mailing Address
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Address Line | 2515 CASTROVILLE RD STE 103
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City | SAN ANTONIO
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State | TX
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Zip | 78237-3359
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Country | US
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Telephone | 210-433-0366
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Fax | 210-433-2622
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Authorized Official
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Title or Position | GM
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Name | MS. YAMINI RANGANATHAN
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Credential |
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Telephone | 210-433-0366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | G1316
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License Number State | TX
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