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General NPI Number Information
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NPI Number | 1740283522
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Entity Type | Organization
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Legal Business Name | SOUTH TEXAS UROLOGY & UROLOGIC ONCOLOGY, P.A.
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 12/03/2019
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Provider Practice Location Address
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Address Line | 9102 FLOYD CURL DR
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1553
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Country | US
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Telephone | 210-615-3899
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Fax | 210-615-3803
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Provider Business Mailing Address
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Address Line | 9102 FLOYD CURL DR
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1553
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Country | US
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Telephone | 210-615-3899
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Fax | 210-615-3803
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL F. SAROSDY
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Credential | M.D.
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Telephone | 210-615-3899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | F6102
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License Number State | TX
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