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NPI 1508793357

NPI 1508793357 : INNOVATIVE HEALTH & WELLNESS LLC SAN ANTONIO SERIES : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1508793357
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    Entity Type          |    Organization 
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    Legal Business Name  |    INNOVATIVE HEALTH & WELLNESS LLC SAN ANTONIO SERIES 
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Dates
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    Enumeration Date     |    05/06/2026
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    Last Update Date     |    05/06/2026
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Provider Practice Location Address
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    Address Line         |    4400 VANCE JACKSON RD 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78230-5323
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    Country              |    US
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    Telephone            |    972-535-8936
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4400 VANCE JACKSON RD 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78230-5323
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    VP REV CYCLE MGMT
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    Name                 |     APRIL  SAWYER 
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    Credential           |    
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    Telephone            |    817-202-5179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    
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    License Number State |    
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