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NPI 1568333797

NPI 1568333797 : SANITAS HEALTHCARE OF TEXAS, PA : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1568333797
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    Entity Type          |    Organization 
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    Legal Business Name  |    SANITAS HEALTHCARE OF TEXAS, PA 
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Dates
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    Enumeration Date     |    09/12/2025
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    Last Update Date     |    09/12/2025
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Provider Practice Location Address
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    Address Line         |    6430 BANDERA RD STE 74 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78238-1513
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    Country              |    US
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    Telephone            |    844-665-4827
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6430 BANDERA RD STE 74 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78238-1513
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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    |    MD
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    Name                 |     JUAN D ESTRADA 
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    Credential           |    
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    Telephone            |    786-999-3507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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