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General NPI Number Information
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NPI Number | 1952590390
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Entity Type | Organization
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Legal Business Name | WESTOVER HILLS SURGICAL ASSOCIATES
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Dates
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Enumeration Date | 10/22/2007
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Last Update Date | 06/30/2008
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Provider Practice Location Address
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Address Line | 3903 WISEMAN BLVD STE 304
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City | SAN ANTONIO
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State | TX
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Zip | 78251-4401
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Country | US
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Telephone | 210-521-1987
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Fax | 210-521-1927
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Provider Business Mailing Address
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Address Line | 3903 WISEMAN BLVD STE 304
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City | SAN ANTONIO
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State | TX
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Zip | 78251-4401
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Country | US
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Telephone | 210-521-1987
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Fax | 210-521-1927
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GREGORY HAMON
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Credential | M.D.
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Telephone | 210-479-5784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number | H8107
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | H8107
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | H8107
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License Number State | TX
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