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NPI 1306727003

NPI 1306727003 : NEUROVASCULAR TEXAS PLLC : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1306727003
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEUROVASCULAR TEXAS PLLC 
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Dates
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    Enumeration Date     |    09/09/2025
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    Last Update Date     |    09/09/2025
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Provider Practice Location Address
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    Address Line         |    11212 STATE HIGHWAY 151 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78251-4498
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    Country              |    US
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    Telephone            |    888-981-7844
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2186 JACKSON KELLER RD STE 3095 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78213-2723
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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    |    PHYSICIAN
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    Name                 |    DR. COLIN  SON 
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    Credential           |    MD
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    Telephone            |    888-981-7844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207T00000X
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    Taxonomy Name        |    Neurological Surgery Physician
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    License Number       |    
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    License Number State |    
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