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General NPI Number Information
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NPI Number | 1518387273
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Entity Type | Organization
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Legal Business Name | TEXAS SPINE & GENERAL SURGERY CENTER, LLC
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Dates
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Enumeration Date | 04/21/2014
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Last Update Date | 04/21/2014
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Provider Practice Location Address
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Address Line | 1646 LOCKHILL SELMA RD
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City | SAN ANTONIO
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State | TX
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Zip | 78213-1929
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Country | US
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Telephone | 210-802-4356
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Fax | 888-678-5001
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Provider Business Mailing Address
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Address Line | 2500 E TC JESTER BLVD SUITE 130
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City | HOUSTON
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State | TX
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Zip | 77008-1365
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Country | US
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Telephone | 210-802-4356
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Fax | 888-678-5001
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Authorized Official
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Title or Position | CEO
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Name | MR. ARLEY GONZALEZ SR.
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Credential |
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Telephone | 210-802-4356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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