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General NPI Number Information
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NPI Number | 1346498219
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Entity Type | Organization
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Legal Business Name | PETER A TARBOX MD PA
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Dates
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Enumeration Date | 09/04/2008
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Last Update Date | 07/13/2020
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Provider Practice Location Address
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Address Line | 5441 BABCOCK RD SUITE 301
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City | SAN ANTONIO
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State | TX
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Zip | 78240-3993
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Country | US
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Telephone | 210-641-1394
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Fax | 210-561-2846
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Provider Business Mailing Address
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Address Line | 5441 BABCOCK RD SUITE 301
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City | SAN ANTONIO
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State | TX
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Zip | 78240-3993
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Country | US
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Telephone | 210-641-1394
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Fax | 210-561-2846
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Authorized Official
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Title or Position | OWNER
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Name | DR. PETER A TARBOX
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Credential | M.D.
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Telephone | 210-573-8290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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