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General NPI Number Information
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NPI Number | 1154978773
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Entity Type | Organization
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Legal Business Name | SAMARITANS OF TEXAS PLLC
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Dates
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Enumeration Date | 08/19/2019
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Last Update Date | 08/19/2019
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Provider Practice Location Address
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Address Line | 2040 BABCOCK RD STE 406
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4428
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Country | US
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Telephone | 210-842-5933
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Fax |
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Provider Business Mailing Address
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Address Line | 2040 BABCOCK RD STE 406
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4428
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Country | US
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Telephone | 210-842-5933
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | KENDRICK LOPEZ
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Credential | MD
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Telephone | 210-842-5933
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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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