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General NPI Number Information
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NPI Number | 1306201124
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Entity Type | Organization
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Legal Business Name | CHRISTUS SANTA ROSA OUTPATIENT SURGERY - NEW BRAUNFELS, LP
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Dates
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Enumeration Date | 12/21/2015
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Last Update Date | 08/31/2022
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Provider Practice Location Address
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Address Line | 1305 WONDER WORLD DR STE 105
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City | SAN MARCOS
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State | TX
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Zip | 78666-7502
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Country | US
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Telephone | 512-353-8161
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Fax | 512-353-8255
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Provider Business Mailing Address
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Address Line | 1305 WONDER WORLD DR STE 105
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City | SAN MARCOS
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State | TX
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Zip | 78666-7502
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Country | US
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Telephone | 512-353-8161
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Fax | 512-353-8255
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GARY K RUFF
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Credential |
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Telephone | 469-282-2637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0800X
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Taxonomy Name | Endoscopy Clinic/Center
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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 | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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