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NPI 1346421807

NPI 1346421807 : NEW BRAUNFELS OB GYN PA : NEW BRAUNFELS, TX

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General NPI Number Information
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    NPI Number           |    1346421807
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEW BRAUNFELS OB GYN PA 
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Dates
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    Enumeration Date     |    11/26/2007
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    Last Update Date     |    07/21/2014
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Provider Practice Location Address
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    Address Line         |    2115 STEPHENS PL SUITE 1210
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    City                 |    NEW BRAUNFELS
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    State                |    TX
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    Zip                  |    78130-2132
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    Country              |    US
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    Telephone            |    830-626-6810
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    Fax                  |    830-629-5001
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Provider Business Mailing Address
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    Address Line         |    2115 STEPHENS PL SUITE 1210
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    City                 |    NEW BRAUNFELS
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    State                |    TX
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    Zip                  |    78130-2132
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    Country              |    US
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    Telephone            |    830-626-6810
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    Fax                  |    830-629-5001
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. NAGAKRISHNA  REDDY 
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    Credential           |    MD
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    Telephone            |    830-626-6810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    L8486
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    License Number State |    TX
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