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NPI 1558541979

NPI 1558541979 : JOHN B. METERSKY, M.D. : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1558541979
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    Entity Type          |    Organization 
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    Legal Business Name  |    JOHN B. METERSKY, M.D. 
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Dates
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    Enumeration Date     |    11/14/2007
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    Last Update Date     |    11/14/2007
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Provider Practice Location Address
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    Address Line         |    7950 FLOYD CURL DR SUITE 810
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78229-3919
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    Country              |    US
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    Telephone            |    210-614-7300
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    Fax                  |    210-614-7313
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Provider Business Mailing Address
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    Address Line         |    7950 FLOYD CURL DR SUITE 810
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78229-3919
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    Country              |    US
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    Telephone            |    210-614-7300
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    Fax                  |    210-614-7313
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Authorized Official
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    Title or Position    |    M.D.
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    Name                 |    DR. JOHN B. METERSKY 
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    Credential           |    M.D.
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    Telephone            |    210-614-7300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    L3400
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    License Number State |    TX
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