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General NPI Number Information
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NPI Number | 1316127111
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Entity Type | Organization
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Legal Business Name | FOUR SEASONS OB/GYN, M.D., P.A.
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Dates
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Enumeration Date | 11/08/2007
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 8435 WURZBACH RD STE 101
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3733
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Country | US
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Telephone | 210-593-0700
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Fax | 210-593-0702
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Provider Business Mailing Address
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Address Line | 8435 WURZBACH RD STE 101
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3733
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Country | US
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Telephone | 210-593-0700
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Fax | 210-593-0702
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. SABRINA S FLORES
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Credential |
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Telephone | 210-593-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | K5387
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License Number State | TX
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