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General NPI Number Information
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NPI Number | 1770773202
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Entity Type | Organization
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Legal Business Name | TMG MEDICAL GROUP, P.A.
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 07/10/2008
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Provider Practice Location Address
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Address Line | 1221 W BEN WHITE BLVD SUITE B-100
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City | AUSTIN
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State | TX
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Zip | 78704-6888
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Country | US
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Telephone | 512-442-1996
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Fax |
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Provider Business Mailing Address
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Address Line | 8637 FREDERICKSBURG RD SUITE 360
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1283
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Country | US
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Telephone | 210-617-4735
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GEORGE M. RAPIER III
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Credential | M.D.
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Telephone | 210-617-4735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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