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General NPI Number Information
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NPI Number | 1659524163
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Entity Type | Organization
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Legal Business Name | ALLERGY INSTITUTE OF SAN ANTONIO, P.A.
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 11515 TOEPPERWEIN RD STE 201
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City | LIVE OAK
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State | TX
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Zip | 78233-3166
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Country | US
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Telephone | 210-646-6978
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Fax | 855-919-4370
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Provider Business Mailing Address
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Address Line | 11515 TOEPPERWEIN RD STE 201
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City | LIVE OAK
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State | TX
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Zip | 78233-3166
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Country | US
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Telephone | 210-646-6978
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Fax | 855-919-4370
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Authorized Official
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Title or Position | OWNER
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Name | DR. ELISEO M VILLALOBOS JR.
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Credential | M.D.
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Telephone | 210-722-0607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy 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 | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | L2042
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License Number State | TX
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