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General NPI Number Information
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NPI Number | 1306961255
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Entity Type | Organization
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Legal Business Name | TEXSTAR UNITED, INC.
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 08/29/2008
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Provider Practice Location Address
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Address Line | 7610 FOREST VALE
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City | SAN ANTONIO
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State | TX
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Zip | 78233-7215
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Country | US
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Telephone | 210-568-9307
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Fax |
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Provider Business Mailing Address
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Address Line | 7610 FOREST VALE
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City | SAN ANTONIO
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State | TX
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Zip | 78233-7215
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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 PRESIDENT
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Name | MR. CLINTON JOHNSON
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Credential |
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Telephone | 210-568-9307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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