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General NPI Number Information
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NPI Number | 1235713736
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Entity Type | Individual
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Provider Name | MAX CRUZ MD
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Gender | Male
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Dates
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Enumeration Date | 05/11/2021
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 911 CASTROVILLE RD
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City | SAN ANTONIO
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State | TX
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Zip | 78237-3146
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Country | US
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Telephone | 210-436-7402
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Fax | 210-473-6739
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Provider Business Mailing Address
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Address Line | 2961 MOSSROCK
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City | SAN ANTONIO
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State | TX
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Zip | 78230-5119
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Country | US
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Telephone | 210-731-4800
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Fax | 210-731-4810
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | U9882
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | BP10074651
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License Number State | TX
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