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General NPI Number Information
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NPI Number | 1952526626
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Entity Type | Organization
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Legal Business Name | ANTONIO ESPARZA, M.D., P.A.
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 12/30/2010
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Provider Practice Location Address
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Address Line | 900 W SAM HOUSTON SUITE1
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City | PHARR
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State | TX
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Zip | 78577-5217
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Country | US
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Telephone | 956-783-1000
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Fax | 956-783-9679
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Provider Business Mailing Address
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Address Line | 900 W SAM HOUSTON SUITE1
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City | PHARR
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State | TX
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Zip | 78577-5217
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Country | US
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Telephone | 956-783-1000
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Fax | 956-783-9679
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANTONIO ESPARZA
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Credential | M.D.
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Telephone | 956-783-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | H7411
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License Number State | TX
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