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NPI Code Detail

MEDICARE: DR. EDWARD SARGENT MD

MEDICARE:  DR. EDWARD  SARGENT  MD
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
1207R00000XInternal Medicine PhysicianG0059TX

General Provider Information

NPI Number : 1609878529
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWARD SARGENT MD
Provider Business Mailing Address
First Line : 8401 DATAPOINT DR
Second Line : #401
City : SAN ANTONIO
State : TX
Zip : 78229-5900
Country : US
Telephone Number : 210-949-2200
Fax Number : 210-614-2186
Provider Business Practice Location Address
First Line : 8401 DATAPOINT DR
Second Line : #401
City : SAN ANTONIO
State : TX
Zip : 78229-5900
Country : US
Telephone Number : 210-949-2200
Fax Number : 210-614-2186
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2005
Last Update Date : 07/13/2007

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Directions to “ DR. EDWARD SARGENT MD” Practice Location

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