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General NPI Number Information
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NPI Number | 1194541896
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Entity Type | Organization
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Legal Business Name | SLIMCARE TEXAS, PLLC
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Dates
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Enumeration Date | 11/26/2024
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 8700 CROWNHILL BLVD STE 405
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City | SAN ANTONIO
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State | TX
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Zip | 78209-1128
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Country | US
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Telephone | 210-800-2630
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Fax |
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Provider Business Mailing Address
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Address Line | 8700 CROWNHILL BLVD STE 405
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City | SAN ANTONIO
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State | TX
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Zip | 78209-1128
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Country | US
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Telephone | 210-800-2630
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. ANTONIO OCAVA JR.
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Credential |
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Telephone | 650-243-8811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number |
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License Number State |
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