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General NPI Number Information
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NPI Number | 1114980331
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Entity Type | Organization
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Legal Business Name | ALAMO CITY CARDIOVASCULAR SURGEONS
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 1303 MCCULLOUGH AVE SUITE 270
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City | SAN ANTONIO
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State | TX
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Zip | 78212
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Country | US
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Telephone | 210-932-1487
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Fax | 210-932-1951
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Provider Business Mailing Address
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Address Line | 519 E QUINCY ST SUTIE B
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City | SAN ANTONIO
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State | TX
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Zip | 78215-1605
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Country | US
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Telephone | 210-932-1487
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Fax | 210-932-1951
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Authorized Official
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Title or Position | PRESIDENT, CEO
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Name | JAMES A KNIGHT
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Credential | MD
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Telephone | 210-271-3660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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