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NPI Code Detail

MEDICARE: TINA BATTEN

MEDICARE: TINA BATTEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM2500XMedical Specialty Clinic/Center

General Provider Information

NPI Number : 1336607977
Entity Type Code : Individual
Provider Name (Legal Business Name) : TINA BATTEN
Provider Business Mailing Address
First Line : 5522 LONE STAR PKWY STE 101
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78253-6720
Country : US
Telephone Number : 210-298-4900
Fax Number : 210-298-6631
Provider Business Practice Location Address
First Line : 5522 LONE STAR PKWY STE 101
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78253-6720
Country : US
Telephone Number : 210-298-4900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2019
Last Update Date : 03/02/2019

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Directions to “ TINA BATTEN ” Practice Location

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