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General NPI Number Information
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NPI Number | 1225400286
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Entity Type | Organization
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Legal Business Name | CLINICAS DE MEDICINA, P.A.
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Dates
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Enumeration Date | 10/29/2015
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Last Update Date | 05/10/2016
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Provider Practice Location Address
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Address Line | 1302 S GENERAL MCMULLEN DR SUITE 103
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City | SAN ANTONIO
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State | TX
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Zip | 78237-4200
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Country | US
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Telephone | 210-904-8770
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Fax | 210-370-3745
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Provider Business Mailing Address
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Address Line | 1302 S GENERAL MCMULLEN DR STE 103
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City | SAN ANTONIO
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State | TX
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Zip | 78237-4200
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Country | US
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Telephone | 210-904-8770
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Fax | 210-370-3745
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JESUS ALFREDO VIRLAR
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Credential | M.D.
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Telephone | 210-376-0981
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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 | L7592
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License Number State | TX
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