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NPI 1649085051

NPI 1649085051 : NBTX MEDICA : NEW BRAUNFELS, TX

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General NPI Number Information
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    NPI Number           |    1649085051
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    Entity Type          |    Organization 
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    Legal Business Name  |    NBTX MEDICA 
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Dates
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    Enumeration Date     |    02/12/2025
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    Last Update Date     |    12/11/2025
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Provider Practice Location Address
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    Address Line         |    1547 E COMMON ST 
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    City                 |    NEW BRAUNFELS
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    State                |    TX
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    Zip                  |    78130-3154
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    Country              |    US
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    Telephone            |    830-327-1144
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    Fax                  |    877-673-1216
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Provider Business Mailing Address
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    Address Line         |    1547 E COMMON ST 
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    City                 |    NEW BRAUNFELS
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    State                |    TX
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    Zip                  |    78130-3154
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    Country              |    US
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    Telephone            |    830-327-1144
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    Fax                  |    877-673-1216
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     EDUARDO  SANDOVAL 
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    Credential           |    MD
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    Telephone            |    512-287-0134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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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        |    2083P0011X
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    Taxonomy Name        |    Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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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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