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General NPI Number Information
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NPI Number | 1598914798
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Entity Type | Organization
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Legal Business Name | ALAMO PAIN CENTER, P.A
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Dates
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Enumeration Date | 09/11/2008
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Last Update Date | 03/14/2012
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Provider Practice Location Address
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Address Line | 12709 TOEPPERWEIN RD STE 300
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City | LIVE OAK
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State | TX
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Zip | 78233-3258
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Country | US
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Telephone | 210-654-7246
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Fax | 210-654-7247
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Provider Business Mailing Address
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Address Line | PO BOX 4346, DEPT 588
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City | HOUSTON
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State | TX
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Zip | 77210-4346
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Country | US
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Telephone | 210-654-7246
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Fax | 210-654-7247
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH GABRIEL
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Credential | M.D.
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Telephone | 210-654-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | M3814
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License Number State | TX
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