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Organization

FOUNDATIONS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SCOTT RUPNOW (CEO)
(210) 892-3707
Entity
Organization

Contact information

Practice address
9600 DATAPOINT DR, SAN ANTONIO, TX 78229-2028
(830) 997-1327
(830) 997-0856
Mailing address
9600 DATAPOINT DR, SAN ANTONIO, TX 78229-2028
(830) 997-1327
(830) 997-0856

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
094996801
TX
01
45D0919195
CLIA
Enumeration date
10/14/2005
Last updated
06/18/2024
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