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General NPI Number Information
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NPI Number | 1942573407
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Entity Type | Organization
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Legal Business Name | PABLO CORTEZ TEVENI, MD PA
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Dates
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Enumeration Date | 02/14/2012
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 405 SE ACCESS RD
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City | IOWA PARK
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State | TX
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Zip | 76367-6985
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Country | US
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Telephone | 940-592-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 2045 J B RILEY RD
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City | BURKBURNETT
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State | TX
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Zip | 76354-5754
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Country | US
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Telephone | 432-425-7632
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Fax | 940-432-3449
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Authorized Official
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Title or Position | PRESIDENT
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Name | PABLO CORTEZ TEVENI
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Credential |
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Telephone | 432-425-7632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | H2972
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License Number State | TX
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