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General NPI Number Information
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NPI Number | 1679692776
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Entity Type | Organization
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Legal Business Name | MEDCARE ASSOCIATES, P.A.
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4499 MEDICAL DR SUITE 102
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3735
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Country | US
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Telephone | 210-615-6995
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Fax | 210-615-6965
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Provider Business Mailing Address
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Address Line | 4499 MEDICAL DRIVE SUITE 102
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City | SAN ANTONIO
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State | TX
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Zip | 78229
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Country | US
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Telephone | 210-615-6995
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Fax | 210-615-6965
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Authorized Official
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Title or Position | EXECUTIVE ADMINISTRATOR
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Name | RUTH FRAZIER
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Credential |
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Telephone | 210-615-6995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K0839
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License Number State | TX
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