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General NPI Number Information
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NPI Number | 1912328493
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Entity Type | Organization
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Legal Business Name | TEXAS PROSTHETIC CENTER, INC.
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Dates
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Enumeration Date | 12/30/2013
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Last Update Date | 05/19/2015
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Provider Practice Location Address
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Address Line | 4242 MEDICAL DR STE 2100
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City | SAN ANTONIO
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State | TX
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Zip | 78229-5640
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Country | US
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Telephone | 214-770-4161
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Fax |
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Provider Business Mailing Address
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Address Line | 4242 MEDICAL DR STE 2100
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City | SAN ANTONIO
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State | TX
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Zip | 78229-5640
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SCHUYLER NELSON
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Credential |
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Telephone | 210-949-0011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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