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General NPI Number Information
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NPI Number | 1164831459
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Entity Type | Organization
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Legal Business Name | MEDICAL AND HEALTH PHYSICIANS OF SAN ANTONIO PLLC
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Dates
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Enumeration Date | 08/12/2014
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Last Update Date | 08/12/2014
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Provider Practice Location Address
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Address Line | 19016 STONE OAK PKWY STE 280-D
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City | SAN ANTONIO
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State | TX
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Zip | 78258-3280
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Country | US
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Telephone | 210-403-2006
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Fax |
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Provider Business Mailing Address
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Address Line | 19016 STONE OAK PKWY STE 280-D
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City | SAN ANTONIO
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State | TX
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Zip | 78258-3280
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Country | US
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Telephone | 210-403-2006
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARVIN SWANSON
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Credential | MD
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Telephone | 210-403-2006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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