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General NPI Number Information
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NPI Number | 1881528933
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Entity Type | Organization
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Legal Business Name | METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO LTD LLP
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 1002 N LLANO ST
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City | FREDERICKSBURG
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State | TX
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Zip | 78624-3505
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Country | US
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Telephone | 830-909-9164
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Fax |
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Provider Business Mailing Address
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Address Line | 1002 N LLANO ST
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City | FREDERICKSBURG
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State | TX
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Zip | 78624-3505
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Country | US
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Telephone | 830-909-9164
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | JUSTIN DAVIS
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Credential |
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Telephone | 183-099-7713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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