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General NPI Number Information
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NPI Number | 1134398902
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Entity Type | Organization
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Legal Business Name | CRISTO A CALLE MD, PA
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Dates
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Enumeration Date | 02/26/2008
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Last Update Date | 02/26/2008
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Provider Practice Location Address
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Address Line | 3118 CLARK AVE STE 2
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City | SAN ANTONIO
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State | TX
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Zip | 78210-5777
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Country | US
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Telephone | 210-533-7000
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Fax | 210-533-3770
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Provider Business Mailing Address
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Address Line | 3118 CLARK AVE STE 2
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City | SAN ANTONIO
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State | TX
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Zip | 78210-5777
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Country | US
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Telephone | 210-533-7000
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Fax | 210-533-3770
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | CRISTO A CALLE
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Credential | INTERNAL MEDICINE
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Telephone | 210-533-7000
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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 | G4540
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License Number State | TX
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