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General NPI Number Information
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NPI Number | 1235008640
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Entity Type | Organization
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Legal Business Name | MSC HEALTH TEXAS LLC
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 11910 US HIGHWAY 290 E UNIT 240
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City | MANOR
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State | TX
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Zip | 78653-4332
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Country | US
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Telephone | 512-617-1050
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Fax | 512-617-1051
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Provider Business Mailing Address
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Address Line | 10431 GULFDALE ST
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City | SAN ANTONIO
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State | TX
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Zip | 78216-4130
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Country | US
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Telephone | 210-775-1600
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Fax | 210-742-1534
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Authorized Official
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Title or Position | CEO
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Name | ANDRES GUTIERREZ
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Credential |
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Telephone | 210-775-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0500X
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Taxonomy Name | Hemodialysis Registered Nurse
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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 | 163WN0300X
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Taxonomy Name | Nephrology Registered Nurse
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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 | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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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 | 104100000X
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Taxonomy Name | Social Worker
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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 | 163WD1100X
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Taxonomy Name | Peritoneal Dialysis Registered Nurse
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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 | 246ZN0300X
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Taxonomy Name | Nephrology Specialist/Technologist
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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 | 2472R0900X
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Taxonomy Name | Renal Dialysis Technician
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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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 | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State |
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