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General NPI Number Information
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NPI Number | 1982594156
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Entity Type | Organization
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Legal Business Name | HYDROLUX IV BAR PLLC
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 15380 PENNY LN
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City | AMARILLO
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State | TX
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Zip | 79119-9837
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Country | US
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Telephone | 806-690-1550
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Fax |
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Provider Business Mailing Address
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Address Line | 15380 PENNY LN
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City | AMARILLO
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State | TX
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Zip | 79119-9837
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Country | US
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Telephone | 806-690-1550
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | GILBERTO TORRES JR.
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Credential |
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Telephone | 806-690-1550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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