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General NPI Number Information
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NPI Number | 1265927016
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Entity Type | Organization
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Legal Business Name | GERIATRICS & FAMILY PRACTICE ASSOCIATES OF SOUTH TEXAS PLLC
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Dates
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Enumeration Date | 06/25/2018
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Last Update Date | 06/25/2018
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Provider Practice Location Address
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Address Line | 888 S GREENVILLE AVE STE 102
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City | RICHARDSON
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State | TX
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Zip | 75081-5052
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Country | US
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Telephone | 214-901-5407
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Fax | 888-746-3527
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Provider Business Mailing Address
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Address Line | 888 S GREENVILLE AVE STE 102
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City | RICHARDSON
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State | TX
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Zip | 75081-5052
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Country | US
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Telephone | 214-901-5407
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Fax | 888-746-3527
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Authorized Official
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Title or Position | OWNER
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Name | KAMRAN BHATTI
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Credential | MD
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Telephone | 214-901-5407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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