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General NPI Number Information
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NPI Number | 1164382065
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Entity Type | Organization
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Legal Business Name | TEXAS EDUCATIONAL ACADEMIC MEDICAL FOUNDATION
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 5210 THOUSAND OAKS DR STE 1244
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City | SAN ANTONIO
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State | TX
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Zip | 78233-6974
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Country | US
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Telephone | 210-223-9292
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Fax |
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Provider Business Mailing Address
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Address Line | 5210 THOUSAND OAKS DR STE 1244
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City | SAN ANTONIO
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State | TX
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Zip | 78233-6974
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Country | US
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Telephone | 210-223-9292
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ALLAN VALENTIN CASTRO JR.
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Credential |
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Telephone | 210-425-6270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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