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General NPI Number Information
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NPI Number | 1932507746
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Entity Type | Organization
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Legal Business Name | NSPA OF TEXAS, LLC
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Dates
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Enumeration Date | 12/10/2014
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Last Update Date | 12/10/2014
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Provider Practice Location Address
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Address Line | 5701 LOIS LN
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City | PLANO
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State | TX
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Zip | 75024-5840
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Country | US
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Telephone | 972-943-0013
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Fax |
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Provider Business Mailing Address
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Address Line | 5701 LOIS LN
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City | PLANO
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State | TX
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Zip | 75024-5840
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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 | OWNER
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Name | MR. RICHARD SALINAS
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Credential |
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Telephone | 972-943-0013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA07007
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License Number State | TX
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