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General NPI Number Information
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NPI Number | 1326138058
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Entity Type | Organization
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Legal Business Name | CHILDREN OF TEXAS PEDIATRICS, PA
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10350 BANDERA RD STE 210
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City | SAN ANTONIO
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State | TX
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Zip | 78250-5616
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Country | US
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Telephone | 210-688-0088
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Fax | 210-688-0089
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Provider Business Mailing Address
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Address Line | 10350 BANDERA RD STE 210
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City | SAN ANTONIO
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State | TX
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Zip | 78250-5616
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Country | US
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Telephone | 210-688-0088
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Fax | 210-688-0089
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. JAMES A DONNEL JR.
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Credential | MD
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Telephone | 210-688-0088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 170100000X
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Taxonomy Name | Ph.D. Medical Genetics
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License Number | L5308
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License Number State | TX
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