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General NPI Number Information
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NPI Number | 1114813136
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Entity Type | Organization
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Legal Business Name | BZMA PLLC
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 9119 CINNAMON HL
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City | SAN ANTONIO
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State | TX
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Zip | 78240-5401
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Country | US
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Telephone | 610-691-0737
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Fax |
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Provider Business Mailing Address
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Address Line | 7403 WURZBACH RD APT 413
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3843
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Country | US
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Telephone | 214-773-4932
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BERT MA
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Credential | MD
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Telephone | 214-773-4932
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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