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General NPI Number Information
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NPI Number | 1821298225
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Entity Type | Organization
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Legal Business Name | GASTROENTEROLOGY CONSULTANTS OF SAN ANTONIO, P.A.
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Dates
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Enumeration Date | 07/23/2007
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Last Update Date | 02/16/2018
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Provider Practice Location Address
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Address Line | 5223 HAMILTON WOLFE RD
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4463
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Country | US
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Telephone | 210-614-1234
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Fax | 210-614-0952
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Provider Business Mailing Address
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Address Line | PO BOX 2778
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City | SAN ANTONIO
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State | TX
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Zip | 78299-2778
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Country | US
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Telephone | 210-614-1234
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Fax | 210-614-0952
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. MICHAEL GUIRL
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Credential | M.D.
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Telephone | 210-614-1234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 8981
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License Number State | TX
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