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General NPI Number Information
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NPI Number | 1376355693
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Entity Type | Organization
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Legal Business Name | CHRISTUS ORTHOPEDIC & SPINE SURGERY CENTER LLC
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Dates
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Enumeration Date | 01/23/2025
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 6427 OLD BABCOCK RD STE 100
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City | SAN ANTONIO
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State | TX
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Zip | 78240-2066
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Country | US
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Telephone | 210-704-0465
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Fax | 210-704-4954
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Provider Business Mailing Address
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Address Line | 5101 N O CONNOR BLVD
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City | IRVING
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State | TX
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Zip | 75039-5714
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Country | US
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Telephone | 469-282-2637
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Fax | 469-893-3582
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Authorized Official
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Title or Position | PRESIDENT
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Name | GARY RUFF
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Credential |
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Telephone | 469-282-2637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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