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NPI 1164668299

NPI 1164668299 : TEXAS MEDICAL AND SLEEP SPECIALISTS, PLLC : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1164668299
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    Entity Type          |    Organization 
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    Legal Business Name  |    TEXAS MEDICAL AND SLEEP SPECIALISTS, PLLC 
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Dates
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    Enumeration Date     |    12/19/2008
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    Last Update Date     |    07/09/2014
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Provider Practice Location Address
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    Address Line         |    4114 POND HILL ROAD SUITE 101
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78231
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    Country              |    US
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    Telephone            |    210-249-5020
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    Fax                  |    210-572-1540
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Provider Business Mailing Address
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    Address Line         |    4114 POND HILL ROAD SUITE 101
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78231
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    Country              |    US
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    Telephone            |    210-249-5020
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    Fax                  |    210-572-1540
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Authorized Official
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    Title or Position    |    MD/PARTNER
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    Name                 |    DR. JOSHUA SIMON ROTENBERG 
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    Credential           |    MD
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    Telephone            |    210-249-5020
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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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Taxonomy #2
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    Taxonomy Code        |    207RS0012X
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    Taxonomy Name        |    Sleep Medicine (Internal Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    2080P0214X
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    Taxonomy Name        |    Pediatric Pulmonology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    2084N0402X
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    Taxonomy Name        |    Neurology with Special Qualifications in Child Neurology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    2084S0012X
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    Taxonomy Name        |    Sleep Medicine (Psychiatry & Neurology) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    363LP0200X
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    Taxonomy Name        |    Pediatric Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    2080S0012X
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    Taxonomy Name        |    Pediatric Sleep Medicine Physician
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    License Number       |    
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    License Number State |    
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