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General NPI Number Information
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NPI Number | 1467448373
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Entity Type | Organization
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Legal Business Name | SOUTH CENTRAL TEXAS BONE AND JOINT CENTER, PA
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Dates
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Enumeration Date | 09/26/2005
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Last Update Date | 09/02/2014
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Provider Practice Location Address
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Address Line | 1711 W WHEELER AVE SUITE 3
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City | ARANSAS PASS
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State | TX
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Zip | 78336-4536
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Country | US
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Telephone | 361-226-3434
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Fax | 210-978-5480
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Provider Business Mailing Address
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Address Line | 1711 W WHEELER AVE SUITE 3
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City | ARANSAS PASS
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State | TX
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Zip | 78336-4536
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Country | US
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Telephone | 361-226-3434
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Fax | 210-978-5480
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Authorized Official
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Title or Position | OWNER
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Name | ERICK M. SANTOS
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Credential | MD
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Telephone | 830-200-1874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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