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General NPI Number Information
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NPI Number | 1124171368
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Entity Type | Organization
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Legal Business Name | HOLZKNECHT FAMILY ORTHOPEDICS OF S TEXAS
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 04/09/2008
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Provider Practice Location Address
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Address Line | 6801 MCPHERSON RD STE 217
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City | LAREDO
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State | TX
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Zip | 78041-6443
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Country | US
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Telephone | 956-728-0571
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Fax | 956-728-0620
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Provider Business Mailing Address
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Address Line | 6801 MCPHERSON RD STE 217
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City | LAREDO
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State | TX
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Zip | 78041-6443
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Country | US
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Telephone | 956-728-0571
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Fax | 956-728-0620
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. PHILIP HOLZKNECHT
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Credential | M.D.
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Telephone | 956-728-0571
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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 | MDL3343
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License Number State | TX
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