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General NPI Number Information
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NPI Number | 1124464235
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Entity Type | Organization
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Legal Business Name | INPATIENT CARE OF SOUTH TEXAS PLLC
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Dates
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Enumeration Date | 05/15/2013
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Last Update Date | 05/15/2013
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Provider Practice Location Address
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Address Line | 1310 MCCULLOUGH AVE
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City | SAN ANTONIO
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State | TX
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Zip | 78212-5601
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Country | US
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Telephone | 210-837-4628
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 268977
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City | OKLAHOMA CITY
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State | OK
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Zip | 73126-8977
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Country | US
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Telephone | 210-837-4628
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PABLO A LOZADA
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Credential | M.D.
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Telephone | 210-837-4628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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