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General NPI Number Information
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NPI Number | 1467025072
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Entity Type | Organization
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Legal Business Name | SAN ANTONIO PM&R PHYSICIANS, PLLC
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Dates
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Enumeration Date | 07/21/2021
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Last Update Date | 07/21/2021
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Provider Practice Location Address
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Address Line | 1200 BROOKLYN AVE STE 140
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City | SAN ANTONIO
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State | TX
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Zip | 78212-4817
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Country | US
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Telephone | 210-495-0359
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 592746
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City | SAN ANTONIO
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State | TX
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Zip | 78259-0187
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Country | US
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Telephone | 210-495-0359
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. KEVIN SCOTT BARTON
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Credential | D.C.
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Telephone | 210-495-0359
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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