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NPI 1275320533

NPI 1275320533 : SANITAS HEALTHCARE OF TEXAS, PA : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1275320533
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    Entity Type          |    Organization 
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    Legal Business Name  |    SANITAS HEALTHCARE OF TEXAS, PA 
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Dates
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    Enumeration Date     |    04/21/2025
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    Last Update Date     |    09/12/2025
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Provider Practice Location Address
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    Address Line         |    9820 BRAUN RD STE 101 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78254-9657
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    Country              |    US
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    Telephone            |    844-665-4827
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8400 NW 33RD ST STE 201 
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    City                 |    DORAL
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    State                |    FL
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    Zip                  |    33122-1937
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     JUAN  ESTRADA 
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    Credential           |    MD
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    Telephone            |    502-694-5251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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