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General NPI Number Information
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NPI Number | 1932386828
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Entity Type | Organization
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Legal Business Name | MEDICAL ER PHYSICIANS, PA
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Dates
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Enumeration Date | 01/23/2008
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Last Update Date | 01/23/2008
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Provider Practice Location Address
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Address Line | 2480 W US HIGHWAY 77 STE 9
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City | SAN BENITO
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State | TX
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Zip | 78586-7715
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Country | US
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Telephone | 956-788-4020
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Fax | 956-788-4021
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Provider Business Mailing Address
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Address Line | 2480 W US HIGHWAY 77 STE 9
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City | SAN BENITO
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State | TX
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Zip | 78586-7715
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Country | US
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Telephone | 956-788-4020
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Fax | 956-788-4021
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MR. TIMOTHY LEE ROGLER-BROWN
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Credential | M.D
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Telephone | 956-788-4020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | K6918
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License Number State | TX
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