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General NPI Number Information
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NPI Number | 1669765608
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Entity Type | Organization
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Legal Business Name | INPATIENT CARE OF SOUTH TEXAS
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Dates
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Enumeration Date | 05/24/2011
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Last Update Date | 08/04/2011
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Provider Practice Location Address
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Address Line | 611 STAPLES RD
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City | SAN MARCOS
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State | TX
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Zip | 78666-1426
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Country | US
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Telephone | 512-535-0322
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Fax | 512-535-6002
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Provider Business Mailing Address
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Address Line | PO BOX 90436
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City | SAN ANTONIO
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State | TX
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Zip | 78209-9084
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Country | US
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Telephone | 512-213-1122
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Fax | 512-535-0322
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Authorized Official
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Title or Position | OWNER
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Name | PABLO LOZADA
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Credential | MD
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Telephone | 512-213-1122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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