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General NPI Number Information
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NPI Number | 1366423683
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Entity Type | Organization
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Legal Business Name | BABCOCK MEDICAL ASSOCIATES, P.A.
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Dates
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Enumeration Date | 11/14/2005
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 5282 MEDICAL DR SUITE 312
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City | SAN ANTONIO
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State | TX
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Zip | 78229-6022
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Country | US
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Telephone | 210-699-3815
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Fax | 210-699-1896
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Provider Business Mailing Address
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Address Line | 115 TUSCANY WAY
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City | SHAVANO PARK
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State | TX
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Zip | 78249-2061
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Country | US
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Telephone | 210-558-6288
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Fax | 210-558-6289
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | IRENE RUIZ
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Credential |
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Telephone | 210-410-2042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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