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General NPI Number Information
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NPI Number | 1538224142
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 02/12/2021
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Provider Practice Location Address
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Address Line | 701 S. ZARZAMORA FLOOR 2 - RM 2120
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City | SAN ANTONIO
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State | TX
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Zip | 78207
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Country | US
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Telephone | 210-450-6470
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Fax | 210-200-6315
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Provider Business Mailing Address
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Address Line | 8431 FREDERICKSBURG RD FL 1
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3392
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Country | US
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Telephone | 210-450-9000
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Fax | 210-450-4903
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Authorized Official
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Title or Position | VP & CHIEF FINANCIAL OFFICER
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Name | ANDREA MARKS
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Credential |
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Telephone | 210-450-4621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 101088
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License Number State | TX
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