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General NPI Number Information
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NPI Number | 1437123791
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Entity Type | Organization
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Legal Business Name | METROPOLITAN FAMILY PRACTICE, P.A.
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 1303 MCCULLOUGH AVE STE 135
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City | SAN ANTONIO
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State | TX
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Zip | 78212
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Country | US
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Telephone | 210-227-9214
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Fax | 210-476-8515
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Provider Business Mailing Address
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Address Line | 1303 MCCULLOUGH AVE STE 135
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City | SAN ANTONIO
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State | TX
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Zip | 78212-5609
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Country | US
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Telephone | 210-227-9214
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Fax | 210-476-8515
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. CHRISTINE A MONTGOMERY
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Credential |
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Telephone | 210-227-9214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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