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General NPI Number Information
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NPI Number | 1780925768
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Entity Type | Organization
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Legal Business Name | SAN ANTONIO LUNG CENTER, PLLC
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Dates
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Enumeration Date | 03/15/2013
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Last Update Date | 10/21/2025
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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 | 78205-1230
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Country | US
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Telephone | 210-927-1832
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Fax | 210-927-3426
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Provider Business Mailing Address
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Address Line | 20403 ENCINO LEDGE UNIT 592716
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City | SAN ANTONIO
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State | TX
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Zip | 78259-0873
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Country | US
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Telephone | 210-927-1832
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Fax | 210-327-3426
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Authorized Official
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Title or Position | PRESIDENT
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Name | NIDIA LEON
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Credential | MD
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Telephone | 210-560-9313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | N7940
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License Number State | TX
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