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General NPI Number Information
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NPI Number | 1841438504
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Entity Type | Organization
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Legal Business Name | PHYSICIANS HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 02/03/2009
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Last Update Date | 01/28/2014
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Provider Practice Location Address
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Address Line | 303 E QUINCY ST SUITE #104
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City | SAN ANTONIO
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State | TX
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Zip | 78215-1918
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Country | US
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Telephone | 210-804-0022
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Fax | 210-804-0028
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Provider Business Mailing Address
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Address Line | 303 E QUINCY ST SUITE #104
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City | SAN ANTONIO
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State | TX
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Zip | 78215-1918
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Country | US
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Telephone | 210-804-0022
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Fax | 210-804-0028
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Authorized Official
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Title or Position | OWNER
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Name | MRS. YVONNE D LONGORIA
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Credential |
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Telephone | 210-804-0022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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