NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1093191561
CASTANEDA
MARTIN
VICENTE ANTONIO
2235 THOUSAND OAKS DR
SAN ANTONIO
TX
782323966
1174612527
DE SMIDT
PIETER
1045 CENTRAL PARKWAY NORTH
SAN ANTONIO
TX
782325024
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