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General NPI Number Information
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NPI Number | 1598086282
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Entity Type | Organization
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Legal Business Name | SOUTHERN TEXAS PHYSICIAN NETWORK
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Dates
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Enumeration Date | 06/16/2010
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Last Update Date | 06/16/2010
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Provider Practice Location Address
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Address Line | 2010 S CYNTHIA ST STE. 107
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City | MCALLEN
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State | TX
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Zip | 78503-1386
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Country | US
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Telephone | 956-350-3901
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Fax |
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Provider Business Mailing Address
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Address Line | 2010 S CYNTHIA ST STE. 107
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City | MCALLEN
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State | TX
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Zip | 78503-1386
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Country | US
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Telephone | 956-350-3901
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | TODD EVANS
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Credential |
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Telephone | 713-852-1550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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