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General NPI Number Information
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NPI Number | 1720097140
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Entity Type | Organization
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Legal Business Name | RADIOLOGY ASSOCIATES OF NEW BRAUNFELS
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 600 N UNION AVE
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-4194
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Country | US
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Telephone | 830-643-6162
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Fax |
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Provider Business Mailing Address
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Address Line | 777 LOOP 337
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-3632
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Country | US
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Telephone | 830-620-5747
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. FERNANDO BAZAN
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Credential | MD
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Telephone | 830-643-6162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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