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General NPI Number Information
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NPI Number | 1144410523
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Entity Type | Organization
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Legal Business Name | RAY V. CORTEZ, MD PA
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 02/06/2008
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Provider Practice Location Address
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Address Line | 16410 BLANCO RD STE 5
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1915
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Country | US
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Telephone | 210-492-7827
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Fax | 210-492-7859
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Provider Business Mailing Address
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Address Line | 16410 BLANCO RD STE 5
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1915
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Country | US
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Telephone | 210-492-7827
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Fax | 210-492-7859
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAY V. CORTEZ
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Credential | MD
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Telephone | 210-492-7827
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | J4059
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License Number State | TX
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