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General NPI Number Information
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NPI Number | 1558166900
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Entity Type | Organization
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Legal Business Name | APEXMED PRIMARY CARE SHAVANO
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 4318 DE ZAVALA RD BLDG 3
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City | SAN ANTONIO
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State | TX
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Zip | 78249-4374
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Country | US
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Telephone | 210-892-0224
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Fax |
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Provider Business Mailing Address
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Address Line | 4085 DE ZAVALA RD STE 150
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City | SHAVANO PARK
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State | TX
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Zip | 78249-2084
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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 | PRESIDENT
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Name | WESAM AZIZ
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Credential | MD
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Telephone | 203-886-5329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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