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General NPI Number Information
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NPI Number | 1508113986
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Entity Type | Individual
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Provider Name | DANIEL RYAN MONSIVAIS M.D
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Gender | Male
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Dates
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Enumeration Date | 08/05/2012
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | SAN ANTONIO MILITARY MEDICAL CENTER 3551 ROGER BROOKE DRIVE
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City | SAN ANTONIO
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State | TX
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Zip | 78219
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Country | US
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Telephone | 210-916-7889
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Fax |
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Provider Business Mailing Address
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Address Line | 510 CHARDONNET
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1900
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Country | US
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Telephone | 915-276-6699
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | Q0979
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | BP10042915
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License Number State | TX
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