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General NPI Number Information
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NPI Number | 1578830543
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Entity Type | Organization
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Legal Business Name | SPCSA PLLC
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Dates
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Enumeration Date | 11/18/2011
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 3903 WISEMAN BLVD STE 101
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City | SAN ANTONIO
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State | TX
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Zip | 78251-4402
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Country | US
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Telephone | 210-615-1901
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Fax | 210-615-1905
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Provider Business Mailing Address
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Address Line | 3903 WISEMAN BLVD STE 101
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City | SAN ANTONIO
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State | TX
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Zip | 78251-4402
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Country | US
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Telephone | 210-615-1901
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Fax | 210-615-1905
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | SERGIO JOSE ALVARADO
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Credential | MD
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Telephone | 210-576-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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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 | 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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