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General NPI Number Information
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NPI Number | 1699927475
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Entity Type | Organization
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Legal Business Name | PLAZA ANESTHESIA CONSULTANTS, PLLC
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Dates
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Enumeration Date | 10/12/2008
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Last Update Date | 10/12/2008
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Provider Practice Location Address
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Address Line | 111 DALLAS ST
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City | SAN ANTONIO
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State | TX
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Zip | 78205-1201
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Country | US
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Telephone | 210-297-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 16607 BLANCO RD SUITE #603
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1913
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Country | US
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Telephone | 210-485-1850
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Fax | 210-493-9500
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. JERRY ALAN BEYER
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Credential | M.D.
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Telephone | 210-485-1850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | K5455
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License Number State | TX
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