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General NPI Number Information
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NPI Number | 1154266013
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Entity Type | Organization
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Legal Business Name | ADVANCED SURGICAL CENTER OF LAREDO
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 7612 ROCIO DR
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City | LAREDO
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State | TX
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Zip | 78041-6550
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Country | US
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Telephone | 956-334-3825
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Fax |
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Provider Business Mailing Address
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Address Line | 7612 ROCIO DR.
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City | LAREDO
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State | TX
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Zip | 78041-6550
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Country | US
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Telephone | 956-334-3825
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MARTE AQUILES MARTINEZ JR.
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Credential | MD
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Telephone | 214-223-5757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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