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General NPI Number Information
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NPI Number | 1699899278
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Entity Type | Organization
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Legal Business Name | ALAMO CITY EYE PHYSICIANS PA
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 09/27/2019
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Provider Practice Location Address
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Address Line | 11601 TOEPPERWEIN
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City | SAN ANTONIO
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State | TX
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Zip | 78233-3147
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Country | US
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Telephone | 210-599-8882
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Fax | 210-590-3936
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Provider Business Mailing Address
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Address Line | 11601 TOEPPERWEIN
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City | SAN ANTONIO
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State | TX
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Zip | 78233-3147
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Country | US
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Telephone | 210-599-8882
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Fax | 210-590-3936
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JON MARK BERRY
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Credential | M.D.
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Telephone | 210-946-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | H9797
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License Number State | TX
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