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General NPI Number Information
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NPI Number | 1669859948
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Entity Type | Organization
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Legal Business Name | SOUTH TEXAS PAIN & RECOVERY CENTER LLC
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Dates
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Enumeration Date | 05/06/2015
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Last Update Date | 05/06/2015
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Provider Practice Location Address
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Address Line | 7220 LOUIS PASTEUR DR SUITE 130
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4537
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Country | US
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Telephone | 210-485-4912
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Fax | 210-579-7156
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Provider Business Mailing Address
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Address Line | 7220 LOUIS PASTEUR DR SUITE 130
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4537
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Country | US
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Telephone | 210-485-4912
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Fax | 210-579-7156
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Authorized Official
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Title or Position | OWNER
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Name | MR. RAYMOND TORRES
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Credential |
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Telephone | 210-485-7912
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MDP6882TX
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License Number State | TX
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