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NPI 1821606062

NPI 1821606062 : ALAMO CITY HEALTHY KIDS AND FAMILIES, PLLC : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1821606062
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALAMO CITY HEALTHY KIDS AND FAMILIES, PLLC 
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Dates
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    Enumeration Date     |    07/14/2020
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    Last Update Date     |    11/18/2024
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Provider Practice Location Address
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    Address Line         |    143 W SUNSET RD STE 100 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78209-2659
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    Country              |    US
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    Telephone            |    210-375-9685
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    Fax                  |    877-325-2479
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Provider Business Mailing Address
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    Address Line         |    143 W SUNSET RD STE 100 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78209-2659
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    Country              |    US
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    Telephone            |    210-375-9685
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    Fax                  |    877-325-2479
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. SUZANNE ELIZABETH CUDA 
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    Credential           |    MD
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    Telephone            |    210-885-8546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2080B0002X
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    Taxonomy Name        |    Pediatric Obesity Medicine Physician
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    License Number       |    
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    License Number State |    
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