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General NPI Number Information
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NPI Number | 1518671601
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Entity Type | Organization
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Legal Business Name | SAN ANTONIO SURGICAL CENTER OF EXCELLENCE
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Dates
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Enumeration Date | 01/12/2023
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 7402 JOHN SMITH DR STE 104
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4589
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Country | US
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Telephone | 210-817-4848
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Fax |
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Provider Business Mailing Address
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Address Line | 5224 75TH ST STE D
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City | LUBBOCK
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State | TX
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Zip | 79424-2525
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Country | US
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Telephone | 806-370-3831
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | TINA CHAPMAN
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Credential |
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Telephone | 806-773-9601
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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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