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General NPI Number Information
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NPI Number | 1922078864
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Entity Type | Individual
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Provider Name | AZREENA BALSAVER THOMAS MD
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Gender | Female
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 8632 FREDERICKSBURG RD STE 112
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1266
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Country | US
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Telephone | 210-593-0900
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Fax | 210-593-4474
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Provider Business Mailing Address
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Address Line | 8632 FREDERICKSBURG RD STE 112
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1266
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Country | US
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Telephone | 210-593-0900
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Fax | 210-593-4474
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | H6648
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | H6648
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2084E0001X
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Taxonomy Name | Epilepsy Physician
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License Number | H6648
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License Number State | TX
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