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General NPI Number Information
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NPI Number | 1376215962
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Entity Type | Organization
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Legal Business Name | FOOT CLINIC OF SOUTH TEXAS
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Dates
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Enumeration Date | 10/01/2021
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Last Update Date | 03/30/2025
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Provider Practice Location Address
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Address Line | 500 PAREDES LINE RD STE A
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City | BROWNSVILLE
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State | TX
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Zip | 78521-3692
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Country | US
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Telephone | 956-489-5450
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Fax |
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Provider Business Mailing Address
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Address Line | 2436 PABLO KISEL BLVD # 1020
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City | BROWNSVILLE
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State | TX
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Zip | 78526-4095
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Country | US
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Telephone | 956-489-5450
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Fax |
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. RENEE RODRIGUEZ
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Credential | DPM
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Telephone | 956-489-5450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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