INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('742938437', 'TX0000276', 'TX0000276', 'TX01', 'MacGregor Medical Center', NULL, NULL, 'MacGregor Medical Center', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '9969 Fredericksburg Rd', 'San Antonio', 'Bexar', 'TX', '78240', '2106902273', NULL, '9969 Fredericksburg Rd', 'San Antonio', '', 'TX', '78240', '', '', 'TXINT', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', NULL, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007376', 0, 'N', 0, '2007-01-11', NULL, NULL, 29.536, -98.5789, NULL, NULL),
('742944052', 'TX0000277', 'TX0000277', 'TX01', 'Responsive ID Solutions', 'Robert', 'A', 'Zajac', 'MD', 'Internal Medicine', '', '', NULL, 'O', '343 W Houston St Ste 612', 'San Antonio', 'Bexar', 'TX', '78205', '2102273200', NULL, '343 W Houston St Ste 612', 'San Antonio', 'Bexar', 'TX', '78205', '2102273200', '', 'TXSURGB', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1013907963', 0, 'N', 0, '2013-08-22', NULL, NULL, 29.4267, -98.4973, NULL, NULL),
('742944052', 'TX0000278', 'TX0000278', 'TX01', 'Responsive ID Solutions', 'Robert', 'A', 'Zajac', 'MD', 'Internal Medicine', '', '', NULL, 'B', 'PO Box 840183', 'Dallas', 'Bexar', 'TX', '78205', '2102273200', NULL, 'PO Box 840183', 'Dallas', 'Bexar', 'TX', '78205', '2102273200', '', 'TXSURGB', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1013907963', 0, 'y', 0, '2013-08-22', NULL, NULL, 0, 0, NULL, NULL),
('752990687', 'TX0000279', 'TX0000279', 'TX01', 'Sonterra Internal Medicine', 'John', 'E', 'Dickson', 'MD', 'Internal Medicine', '', '', NULL, 'O', '325 Sonterra Bvld E Ste 200', 'San Antonio', 'Bexar', 'TX', '78258', '2104023069', NULL, '325 Sonterra Bvld E Ste 200', 'San Antonio', 'Bexar', 'TX', '78258', '2104023069', '', 'TXINT', 'TXHCPCS', '', '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'North Central Baptist Hospital', '', '', '', 'HCFA|UB|', '1154467116', 0, 'N', 0, '2014-06-19', NULL, NULL, 29.6171, -98.4899, NULL, NULL),
('752990687', 'TX0000280', 'TX0000280', 'TX01', 'Sonterra Internal Medicine', 'John', 'E', 'Dickson', 'MD', 'Internal Medicine', '', '', NULL, 'B', 'PO Box 65071', 'San Antonio', 'Bexar', 'TX', '78265', '2104023069', NULL, 'PO Box 65071', 'San Antonio', 'Bexar', 'TX', '78265', '2104023069', '', 'TXINT', 'TXHCPCS', '', '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'North Central Baptist Hospital', '', '', '', 'HCFA|UB|', '1154467116', 0, 'y', 0, '2014-06-19', NULL, NULL, 0, 0, NULL, NULL),
('010798330', 'TX0000281', 'TX0000281', 'TX01', NULL, 'Daniel', '', 'Juarez', 'MD', 'Internal Medicine', '', '', NULL, 'O', '1303 McCullough Ave Ste 248', 'San Antonio', 'Bexar', 'TX', '78212', '2102203737', NULL, '1303 McCullough Ave Ste 248', 'San Antonio', 'Bexar', 'TX', '78212', '2102203737', '', 'TXINT', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'Baptist Medical Center', '', '', '', 'HCFA|UB|', '1942303193', 0, 'N', 0, '2012-05-18', NULL, NULL, 29.4412, -98.4924, NULL, NULL),
('030468251', 'TX0000282', 'TX0000282', 'TX01', NULL, 'Steven', 'M', 'Bauer', 'MD', 'Internal Medicine', '', '', NULL, 'O', '20642 Stone Oak Pkwy Ste 108', 'San Antonio', 'Bexar', 'TX', '78258', '2104920505', NULL, '20642 Stone Oak Pkwy Ste 108', 'San Antonio', 'Bexar', 'TX', '78258', '2104920505', '', 'TXINT', 'TXHCPCS', '', '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'North Central Baptist Hospital', '', '', '', 'HCFA|UB|', '1548228927', 0, 'N', 0, '2014-05-28', NULL, NULL, 29.649, -98.4621, NULL, NULL),
('742778964', 'TX0000283', 'TX0000283', 'TX01', 'Independent Medical Associates', 'Raul', 'M', 'Montemayor', 'MD', 'Internal Medicine', '', '', NULL, 'O', '2833 Babcock Rd Ste 435', 'San Antonio', 'Bexar', 'TX', '78229', '2106145855', NULL, '2833 Babcock Rd Ste 435', 'San Antonio', 'Bexar', 'TX', '78229', '2106145855', '', 'TXINT', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'Baptist Medical Center', '', '', '', 'HCFA|UB|', '1013998178', 0, 'N', 0, '2013-05-01', NULL, NULL, 29.5133, -98.5912, NULL, NULL),
('742778964', 'TX0000284', 'TX0000284', 'TX01', 'Independent Medical Associates PA', 'Peter', 'A', 'Petroff', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '2833 Babcock Rd Ste 435', 'San Antonio', 'Bexar', 'TX', '78229', '2106145855', NULL, '2833 Babcock', 'San Antonio', '', 'TX', '78229', '', '', 'TXINT', 'TXHCPCS', NULL, '0.00', '50.00', NULL, 3, '2000-01-01', '2000-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000008166', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('742778964', 'TX0000285', 'TX0000285', 'TX01', 'Independent Medical Associates', 'Eugenio', 'R', 'Chinea', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '2833 Babcock Rd Ste 435', 'San Antonio', 'Bexar', 'TX', '78229', '2106145855', NULL, '2833 Babcock', 'San Antonio', '', 'TX', '78229', '', '', 'TXINT', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2009-11-10', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000005679', 0, 'N', 0, '2007-01-11', NULL, NULL, 29.5133, -98.5912, NULL, NULL),
('742938437', 'TX0000286', 'TX0000286', 'TX01', 'MacGregor Medical Center', NULL, NULL, 'MacGregor Medical Center', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'B', 'PO Box 2448', 'San Antonio', 'Bexar', 'TX', '78298', '2106902273', NULL, NULL, NULL, '', NULL, NULL, '', '', 'TXINT', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', NULL, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007376', 0, 'y', 0, '2007-01-11', NULL, NULL, 0, 0, NULL, NULL),
('742938437', 'TX0000287', 'TX0000287', 'TX01', 'MacGregor Medical Center', 'Jose', 'A', 'Sanchez', 'MD', 'Internal Medicine', '', '', NULL, 'B', 'PO Box 2448', 'San Antonio', 'Bexar', 'TX', '78298', '2106902273', NULL, 'PO Box 2448', 'San Antonio', 'Bexar', 'TX', '78298', '2106902273', '', 'TXINT', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'St Lukes Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1982600623', 0, 'y', 0, '2013-08-27', NULL, NULL, 0, 0, NULL, NULL),
('742938437', 'TX0000288', 'TX0000288', 'TX01', 'MacGregor Medical Center', 'Manuel', 'J', 'Rodriguez', 'MD', 'Internal Medicine', '', '', NULL, 'B', 'PO Box 2448', 'San Antonio', 'Bexar', 'TX', '78298', '2106902273', NULL, 'PO Box 2448', 'San Antonio', 'Bexar', 'TX', '78298', '2106902273', '', 'TXINT', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'St Lukes Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1972500254', 0, 'y', 0, '2013-09-03', NULL, NULL, 0, 0, NULL, NULL),
('742938437', 'TX0000289', 'TX0000289', 'TX01', 'MacGregor Medical Center', 'William', 'R', 'Beck', 'MD', 'Pediatrics', '', '', NULL, 'B', 'PO Box 2448', 'San Antonio', 'Bexar', 'TX', '78298', '2106902273', NULL, 'PO Box 2448', 'San Antonio', 'Bexar', 'TX', '78298', '2106902273', '', 'TXINT', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'St Lukes Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1609873660', 0, 'y', 0, '2013-01-24', NULL, NULL, 0, 0, NULL, NULL),
('742938437', 'TX0000290', 'TX0000290', 'TX01', 'MacGregor Medical Center', 'Carlos', 'M', 'Roldan', 'MD', 'Family Practice', '', '', NULL, 'B', 'PO Box 2448', 'San Antonio', 'Bexar', 'TX', '78298', '2106902273', NULL, 'PO Box 2448', 'San Antonio', 'Bexar', 'TX', '78298', '2106902273', '', 'TXINT', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, 'St Lukes Baptist Hospital', '', '', '', 'HCFA|UB|', '0000008466', 0, 'y', 0, '2014-05-01', NULL, NULL, 0, 0, NULL, NULL),
('742938437', 'TX0000291', 'TX0000291', 'TX01', 'MacGregor Medical Center', 'Fernando', '', 'Aguirre', 'MD', 'Internal Medicine', '', '', NULL, 'B', 'PO Box 2448', 'San Antonio', 'Bexar', 'TX', '78298', '2106902273', NULL, 'PO Box 2448', 'San Antonio', 'Bexar', 'TX', '78298', '2106902273', '', 'TXINT', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'St Lukes Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1861499444', 0, 'y', 0, '2013-04-09', NULL, NULL, 0, 0, NULL, NULL),
('742938437', 'TX0000292', 'TX0000292', 'TX01', 'MacGregor Medical Center', 'Brian', 'P', 'Senger', 'MD', 'Internal Medicine', '', '', NULL, 'B', 'PO Box 2448', 'San Antonio', 'Bexar', 'TX', '78298', '2106902273', NULL, 'PO Box 2448', 'San Antonio', 'Bexar', 'TX', '78298', '2106902273', '', 'TXINT', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'St Lukes Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1194722660', 0, 'y', 0, '2013-04-09', NULL, NULL, 0, 0, NULL, NULL),
('742938437', 'TX0000293', 'TX0000293', 'TX01', 'MacGregor Medical Center', 'Joseph', '', 'Wysoki', 'DO', 'Family Practice', '', '', NULL, 'B', 'PO Box 2448', 'San Antonio', 'Bexar', 'TX', '78298', '2106902273', NULL, 'PO Box 2448', 'San Antonio', 'Bexar', 'TX', '78298', '2106902273', '', 'TXINT', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, 'St Lukes Baptist Hospital', '', '', '', 'HCFA|UB|', '0000009693', 0, 'y', 0, '2014-05-01', NULL, NULL, 0, 0, NULL, NULL),
('742938437', 'TX0000294', 'TX0000294', 'TX01', 'MacGregor Medical Center', 'Ana', 'I', 'Rodriguez', 'MD', 'Internal Medicine', '', '', NULL, 'B', 'PO Box 2448', 'San Antonio', 'Bexar', 'TX', '78298', '2106902273', NULL, 'PO Box 2448', 'San Antonio', 'Bexar', 'TX', '78298', '2106902273', '', 'TXINT', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'St Lukes Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1871599449', 0, 'y', 0, '2013-04-09', NULL, NULL, 0, 0, NULL, NULL),
('742938437', 'TX0000295', 'TX0000295', 'TX01', 'MacGregor Medical Center', 'Mark', 'K', 'Smith', 'MD', 'Family Practice', '', '', NULL, 'B', 'PO Box 2448', 'San Antonio', 'Bexar', 'TX', '78298', '2106902273', NULL, 'PO Box 2448', 'San Antonio', 'Bexar', 'TX', '78298', '2106902273', '', 'TXINT', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, 'St Lukes Baptist Hospital', '', '', '', 'HCFA|UB|', '0000008769', 0, 'y', 0, '2014-04-29', NULL, NULL, 0, 0, NULL, NULL),
('742938437', 'TX0000296', 'TX0000296', 'TX01', 'MacGregor Medical Center', 'Dennis', 'C', 'Oliver', 'MD', 'Internal Medicine', '', '', NULL, 'B', 'PO Box 2448', 'San Antonio', 'Bexar', 'TX', '78298', '2106902273', NULL, 'PO Box 2448', 'San Antonio', 'Bexar', 'TX', '78298', '2106902273', '', 'TXINT', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'St Lukes Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1265439541', 0, 'y', 0, '2013-04-09', NULL, NULL, 0, 0, NULL, NULL),
('742855569', 'TX0000297', 'TX0000297', 'TX01', 'San Antonio Preventive & Diagnostic Medicine', 'Richard', NULL, 'Clemons', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '8401 Datapoint Ste 401', 'San Antonio', 'Bexar', 'TX', '78229', '2109492200', NULL, '8401 Datapoint', 'San Antonio', 'Bexar', 'TX', '78229', '2109492200', '          ', 'TXINT', 'TXHCPCS', '', '0.00', '50.00', '0.00', 3, '2007-01-01', '2010-10-28', NULL, 0, NULL, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1740282664', 0, 'Y', 0, '2007-01-11', NULL, NULL, 0, 0, NULL, NULL),
('742855569', 'TX0000298', 'TX0000298', 'TX01', 'San Antonio Preventive & Diagnostic Medicine', 'John', NULL, 'Matlock', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '8401 Datapoint Ste 401', 'San Antonio', 'Bexar', 'TX', '78229', '2109492200', NULL, '8401 Datapoint', 'San Antonio', 'Bexar', 'TX', '78229', '2109492200', '          ', 'TXINT', 'TXHCPCS', '', '0.00', '50.00', '0.00', 3, '2007-01-01', '2010-10-28', NULL, 0, NULL, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007473', 0, 'Y', 0, '2007-01-11', NULL, NULL, 0, 0, NULL, NULL),
('742855569', 'TX0000299', 'TX0000299', 'TX01', 'San Antonio Preventive & Diagnostic Medicine', 'Thomas', NULL, 'Mieras', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '8401 Datapoint Ste 401', 'San Antonio', 'Bexar', 'TX', '78229', '2109492200', NULL, '8401 Datapoint', 'San Antonio', 'Bexar', 'TX', '78229', '2109492200', '          ', 'TXINT', 'TXHCPCS', '', '0.00', '50.00', '0.00', 3, '2007-01-01', '2010-10-28', NULL, 0, NULL, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007602', 0, 'Y', 0, '2007-01-11', NULL, NULL, 0, 0, NULL, NULL),
('742855569', 'TX0000300', 'TX0000300', 'TX01', 'San Antonio Preventive & Diagnostic Medicine', 'Albert', NULL, 'Mosqueda', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '8401 Datapoint Ste 401', 'San Antonio', 'Bexar', 'TX', '78229', '2109492200', NULL, '8401 Datapoint', 'San Antonio', 'Bexar', 'TX', '78229', '2109492200', '          ', 'TXINT', 'TXHCPCS', '', '0.00', '50.00', '0.00', 3, '2007-01-01', '2010-10-28', NULL, 0, NULL, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007715', 0, 'Y', 0, '2007-01-11', NULL, NULL, 0, 0, NULL, NULL),
('742855569', 'TX0000301', 'TX0000301', 'TX01', 'San Antonio Preventive & Diagnostic Medicine', 'Mark', NULL, 'Riddoch', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '8401 Datapoint Ste 401', 'San Antonio', 'Bexar', 'TX', '78229', '2109492200', NULL, '8401 Datapoint', 'San Antonio', 'Bexar', 'TX', '78229', '2109492200', '          ', 'TXINT', 'TXHCPCS', '', '0.00', '50.00', '0.00', 3, '2007-01-01', '2010-10-28', NULL, 0, NULL, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1437150661', 0, 'Y', 0, '2007-01-11', NULL, NULL, 0, 0, NULL, NULL),
('742855569', 'TX0000302', 'TX0000302', 'TX01', 'San Antonio Preventive & Diagnostic Medicine', 'Edward', 'R', 'Sargent', 'MD', 'Internal Medicine', '', '', NULL, 'O', '8401 Datapoint Ste 401', 'San Antonio', 'Bexar', 'TX', '78229', '2109492200', NULL, '8401 Datapoint', 'San Antonio', 'Bexar', 'TX', '78229', '2109492200', '          ', 'TXINT', 'TXHCPCS', '', '0.00', '50.00', '0.00', 3, '2007-01-01', '2010-10-28', NULL, 0, NULL, '', '', '', '', 'HCFA|UB|', '1609878529', 0, 'Y', 0, '2011-12-19', NULL, NULL, 0, 0, NULL, NULL),
('202148889', 'TX0000303', 'TX0000303', 'TX01', 'Health Texas Medical Group of San Antonio', 'Stella', NULL, 'Yu', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'B', '6243 IH W Ste 480', 'San Antonio', 'Bexar', 'TX', '78201', '2103714800', NULL, '6243 l-10 W', 'San Antonio', '', 'TX', '78201', '', '', 'TXINT', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'St Lukes Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1912973694', 0, 'Y', 0, '2007-01-11', NULL, NULL, 0, 0, NULL, NULL),
('202148889', 'TX0000304', 'TX0000304', 'TX01', 'Health Texas Medical Group of San Antonio', 'Kristi', 'G', 'Clark', 'MD', 'Internal Medicine', '', '', NULL, 'B', '6243 IH W Ste 480', 'San Antonio', 'Bexar', 'TX', '78201', '2103714800', NULL, '6243 IH W Ste 480', 'San Antonio', 'Bexar', 'TX', '78201', '2103714800', '', 'TXINT', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'St Lukes Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1912973769', 0, 'Y', 0, '2012-07-30', NULL, NULL, 0, 0, NULL, NULL),
('202148889', 'TX0000305', 'TX0000305', 'TX01', 'Health Texas Medical Group of San Antonio', 'Jesus', 'J', 'Aguilar', 'MD', 'Internal Medicine', '', '', NULL, 'B', '6243 IH W Ste 480', 'San Antonio', 'Bexar', 'TX', '78201', '2103714800', NULL, '6243 IH W Ste 480', 'San Antonio', 'Bexar', 'TX', '78201', '2103714800', '', 'TXINT', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'Baptist Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1528034360', 0, 'Y', 0, '2013-05-10', NULL, NULL, 0, 0, NULL, NULL),
('202148889', 'TX0000306', 'TX0000306', 'TX01', 'Health Texas Medical Group of San Antonio', 'Ramon', '', 'Colen', 'MD', 'Internal Medicine', '', '', NULL, 'B', '6243 IH W Ste 480', 'San Antonio', 'Bexar', 'TX', '78201', '2103714800', NULL, '6243 IH W Ste 480', 'San Antonio', 'Bexar', 'TX', '78201', '2103714800', '', 'TXINT', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'Baptist Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1811963697', 0, 'Y', 0, '2012-06-19', NULL, NULL, 0, 0, NULL, NULL),
('202148889', 'TX0000307', 'TX0000307', 'TX01', 'Health Texas Medical Group of San Antonio', 'Majin', NULL, 'Castillo', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'B', '6243 IH W Ste 480', 'San Antonio', 'Bexar', 'TX', '78201', '2103714800', NULL, NULL, NULL, '', NULL, NULL, '', '', 'TXINT', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2009-01-29', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000005599', 0, 'Y', 0, '2007-01-11', NULL, NULL, 0, 0, NULL, NULL),
('202148889', 'TX0000308', 'TX0000308', 'TX01', 'Health Texas Medical Group of San Antonio', 'Richard', 'S', 'Reyna', 'MD', 'Internal Medicine', '', '', NULL, 'B', '6243 IH W Ste 480', 'San Antonio', 'Bexar', 'TX', '78201', '2103714800', NULL, '6243 IH W Ste 480', 'San Antonio', 'Bexar', 'TX', '78201', '2103714800', '', 'TXINT', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'Baptist Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1326014069', 0, 'Y', 0, '2012-12-18', NULL, NULL, 0, 0, NULL, NULL),
('202148889', 'TX0000309', 'TX0000309', 'TX01', 'Health Texas Medical Group of San Antonio', 'Rowland', 'S', 'Reyna', 'MD', 'Internal Medicine', '', '', NULL, 'B', '6243 IH W Ste 480', 'San Antonio', 'Bexar', 'TX', '78201', '2103714800', NULL, '6243 IH W Ste 480', 'San Antonio', 'Bexar', 'TX', '78201', '2103714800', '', 'TXINT', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'Baptist Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1700852498', 0, 'Y', 0, '2012-12-18', NULL, NULL, 0, 0, NULL, NULL),
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INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
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('133757370', 'TX0000369', 'TX0000369', 'TX01', 'LabCorp of America Holdings', '', '', 'LabCorp of America Holdings', 'GROUP', 'Laboratory', '', '', NULL, 'O', '700 S Zarzamora St Ste 310', 'SAN ANTONIO', 'Bexar', 'TX', '78207', '2104321475', NULL, '700 S Zarzamora St Ste 310', 'SAN ANTONIO', 'Bexar', 'TX', '78207', '2104321475', '', 'WULABCORP5', 'TXHCPCS', NULL, '0.00', '35.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1902809940', 0, 'N', 0, '2014-03-21', NULL, NULL, 29.4217, -98.5278, NULL, NULL),
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('133757370', 'TX0000371', 'TX0000371', 'TX01', 'LabCorp of America Holdings', '', '', 'LabCorp of America Holdings', 'GROUP', 'Laboratory', '', '', NULL, 'O', '8042 Wurzbach Rd Ste 140', 'SAN ANTONIO', 'Bexar', 'TX', '78229', '2106143806', NULL, '8042 Wurzbach Rd Ste 140', 'SAN ANTONIO', 'Bexar', 'TX', '78229', '2106143806', '', 'WULABCORP5', 'TXHCPCS', NULL, '0.00', '35.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1902809940', 0, 'N', 0, '2014-03-21', NULL, NULL, 29.514, -98.5778, NULL, NULL),
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('382084239', 'TX0000378', 'TX0000378', 'TX01', 'Quest Diagnostics', '', '', 'Quest Diagnostics', '', 'Laboratory', '', '', NULL, 'O', '3859 E Southcross Blvd Ste B', 'San Antonio', 'Bexar', 'TX', '78222', '2103372436', NULL, '3859 E Southcross Blvd Ste B', 'San Antonio', 'Bexar', 'TX', '78222', '2103372436', '', 'WUQUEST5', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000008294', 0, 'N', 0, '2013-10-15', NULL, NULL, 0, 0, NULL, NULL),
('382084239', 'TX0000379', 'TX0000379', 'TX01', 'Quest Diagnostics', '', '', 'Quest Diagnostics', '', 'Laboratory', '', '', NULL, 'O', '16414 San Pedro Ste 500', 'San Antonio', 'Bexar', 'TX', '78232', '2104907246', NULL, '16414 San Pedro Ste 500', 'San Antonio', 'Bexar', 'TX', '78232', '2104907246', '', 'WUQUEST5', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000008294', 0, 'N', 0, '2013-10-15', NULL, NULL, 0, 0, NULL, NULL),
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('742743906', 'TX0000445', 'TX0000445', 'TX01', 'San Antonio Kidney Disease Center', 'Nicolas', 'A', 'Forero', 'MD', 'Nephrology', NULL, NULL, NULL, 'O', '7114 San Pedro Ave', 'San Antonio', 'Bexar', 'TX', '78216', '2103422233', NULL, '7142 San Pedro Ave', 'San Antonio', '', 'TX', '78216', '', '', 'TXSTD', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2009-07-24', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1740264365', 0, 'N', 0, '2007-01-11', NULL, NULL, 0, 0, NULL, NULL),
('742743906', 'TX0000446', 'TX0000446', 'TX01', 'San Antonio Kidney Disease Center', 'James', 'W', 'Lin', 'MD', 'Nephrology', NULL, NULL, NULL, 'O', '7114 San Pedro Ave', 'San Antonio', 'Bexar', 'TX', '78216', '2103422233', NULL, '7142 San Pedro Ave', 'San Antonio', '', 'TX', '78216', '', '', 'TXSTD', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2009-07-24', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1053310383', 0, 'N', 0, '2007-01-11', NULL, NULL, 0, 0, NULL, NULL),
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INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('742862554', 'TX0000551', 'TX0000551', 'TX01', 'Northeast OB-GYN Associates', 'Scott', 'A', 'Farhart', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'O', '12602 Toepperwein Rd Ste 201', 'San Antonio', 'Bexar', 'TX', '78233', '2106509978', NULL, '12602 Toepperwein Rd Ste 201', 'San Antonio', 'Bexar', 'TX', '78233', '2106509978', '', 'TXOBG', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2010-01-01', 0, 0, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1467470021', 0, 'N', 0, '2013-05-01', NULL, NULL, 0, 0, NULL, NULL),
('742862554', 'TX0000552', 'TX0000552', 'TX01', 'Northeast OB-GYN Associates', 'Vernon', '', 'Theis', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'O', '12602 Toepperwein Rd Ste 201', 'San Antonio', 'Bexar', 'TX', '78233', '2106509978', NULL, '12602 Toepperwein Rd Ste 201', 'San Antonio', 'Bexar', 'TX', '78233', '2106509978', '', 'TXOBG', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2010-01-01', 0, 0, 0, 'North Central Baptist Hospital', '', '', '', 'HCFA|UB|', '1952333213', 0, 'N', 0, '2014-04-08', NULL, NULL, 0, 0, NULL, NULL),
('742862554', 'TX0000553', 'TX0000553', 'TX01', 'Northeast OB-GYN Associates', 'Ingrid', 'P', 'Skop', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'O', '12602 Toepperwein Rd Ste 201', 'San Antonio', 'Bexar', 'TX', '78233', '2106509978', NULL, '12602 Toepperwein Rd Ste 201', 'San Antonio', 'Bexar', 'TX', '78233', '2106509978', '', 'TXOBG', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2010-01-01', 0, 0, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1275542698', 0, 'N', 0, '2013-05-24', NULL, NULL, 0, 0, NULL, NULL),
('742862554', 'TX0000554', 'TX0000554', 'TX01', 'Northeast OB-GYN Associates', 'Mark', 'E', 'Thompson', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'O', '12602 Toepperwein Rd Ste 201', 'San Antonio', 'Bexar', 'TX', '78233', '2106509978', NULL, '12602 Toepperwein Rd Ste 201', 'San Antonio', 'Bexar', 'TX', '78233', '2106509978', '', 'TXOBG', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2010-01-01', 0, 0, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1821017484', 0, 'N', 0, '2013-05-24', NULL, NULL, 0, 0, NULL, NULL),
('742862554', 'TX0000555', 'TX0000555', 'TX01', 'Northeast OB-GYN Associates', 'Anna', 'L', 'Chavana', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'O', '12602 Toepperwein Rd Ste 201', 'San Antonio', 'Bexar', 'TX', '78233', '2106509978', NULL, '12602 Toepperwein Rd Ste 201', 'San Antonio', 'Bexar', 'TX', '78233', '2106509978', '', 'TXOBG', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2010-01-01', 0, 0, 0, 'North Central Baptist Hospital', '', '', '', 'HCFA|UB|', '1689683039', 0, 'N', 0, '2014-05-01', NULL, NULL, 0, 0, NULL, NULL),
('742862554', 'TX0000556', 'TX0000556', 'TX01', 'Northeast OB-GYN Associates', 'Cameron', '', 'Powell', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'O', '12602 Toepperwein Rd Ste 201', 'San Antonio', 'Bexar', 'TX', '78233', '2106509978', NULL, '12602 Toepperwein Rd Ste 201', 'San Antonio', 'Bexar', 'TX', '78233', '2106509978', '', 'TXOBG', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2009-06-11', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000008243', 0, 'N', 0, '2013-04-24', NULL, NULL, 0, 0, NULL, NULL),
('742862554', 'TX0000557', 'TX0000557', 'TX01', 'Northeast OB-GYN Associates', 'Joy', 'T', 'Aden', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'O', '12602 Toepperwein Rd Ste 201', 'San Antonio', 'Bexar', 'TX', '78233', '2106509978', NULL, '12602 Toepperwein Rd Ste 201', 'San Antonio', 'Bexar', 'TX', '78233', '2106509978', '', 'TXOBG', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2010-01-01', 0, 0, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1114936408', 0, 'N', 0, '2013-04-24', NULL, NULL, 0, 0, NULL, NULL),
('742862554', 'TX0000558', 'TX0000558', 'TX01', 'Northeast OB-GYN Associates', 'Joseph', 'R', 'Garza', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'O', '12602 Toepperwein Rd Ste 201', 'San Antonio', 'Bexar', 'TX', '78233', '2106509978', NULL, '12602 Toepperwein Rd Ste 201', 'San Antonio', 'Bexar', 'TX', '78233', '2106509978', '', 'TXOBG', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2010-01-01', 0, 0, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1144210121', 0, 'N', 0, '2013-05-01', NULL, NULL, 0, 0, NULL, NULL),
('742862554', 'TX0000559', 'TX0000559', 'TX01', 'Northeast OB-GYN Associates', 'Elizabeth', 'A', 'King', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'O', '12602 Toepperwein Rd Ste 201', 'San Antonio', 'Bexar', 'TX', '78233', '2106509978', NULL, '12602 Toepperwein Rd Ste 201', 'San Antonio', 'Bexar', 'TX', '78233', '2106509978', '', 'TXOBG', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2010-01-01', 0, 0, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1184643769', 0, 'N', 0, '2013-05-02', NULL, NULL, 0, 0, NULL, NULL),
('742862554', 'TX0000560', 'TX0000560', 'TX01', 'Northeast OB-GYN Associates', 'Joy', 'T', 'Aden', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'O', '4212 E Southcross Blvd Ste 235', 'San Antonio', 'Bexar', 'TX', '78222', '2105818694', NULL, '4212 E Southcross Blvd Ste 235', 'San Antonio', 'Bexar', 'TX', '78222', '2105818694', '', 'TXOBG', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2008-12-11', 0, 0, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1114936408', 0, 'N', 0, '2013-04-24', NULL, NULL, 29.3746, -98.4125, NULL, NULL),
('742862554', 'TX0000561', 'TX0000561', 'TX01', 'Northeast OB-GYN Associates', 'Joseph', 'R', 'Garza', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'O', '4212 E Southcross Blvd Ste 235', 'San Antonio', 'Bexar', 'TX', '78222', '2105818694', NULL, '4212 E Southcross Blvd Ste 235', 'San Antonio', 'Bexar', 'TX', '78222', '2105818694', '', 'TXOBG', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2008-12-11', 0, 0, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1144210121', 0, 'N', 0, '2013-05-01', NULL, NULL, 29.3746, -98.4125, NULL, NULL),
('742862554', 'TX0000562', 'TX0000562', 'TX01', 'Northeast OB-GYN Associates', 'Bruce', 'D', 'Akright', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'B', 'PO Box 34537', 'San Antonio', 'Bexar', 'TX', '78265', '2106535501', NULL, 'PO Box 34537', 'San Antonio', 'Bexar', 'TX', '78265', '2106535501', '', 'TXOBG', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2010-01-01', 0, 0, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1679515373', 0, 'Y', 0, '2013-08-22', NULL, NULL, 0, 0, NULL, NULL),
('742862554', 'TX0000563', 'TX0000563', 'TX01', 'Northeast OB-GYN Associates', 'Randall', 'K', 'Sadler', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'B', 'PO Box 34537', 'San Antonio', 'Bexar', 'TX', '78265', '2106535501', NULL, 'PO Box 34537', 'San Antonio', 'Bexar', 'TX', '78265', '2106535501', '', 'TXOBG', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2010-01-01', 0, 0, 0, 'North Central Baptist Hospital', '', '', '', 'HCFA|UB|', '1720017601', 0, 'Y', 0, '2014-05-01', NULL, NULL, 0, 0, NULL, NULL),
('742862554', 'TX0000564', 'TX0000564', 'TX01', 'Northeast OB-GYN Associates', 'Scott', 'A', 'Farhart', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'B', 'PO Box 34537', 'San Antonio', 'Bexar', 'TX', '78265', '2106535501', NULL, 'PO Box 34537', 'San Antonio', 'Bexar', 'TX', '78265', '2106535501', '', 'TXOBG', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2010-01-01', 0, 0, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1467470021', 0, 'Y', 0, '2013-05-01', NULL, NULL, 0, 0, NULL, NULL),
('742862554', 'TX0000565', 'TX0000565', 'TX01', 'Northeast OB-GYN Associates', 'Vernon', '', 'Theis', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'B', 'PO Box 34537', 'San Antonio', 'Bexar', 'TX', '78265', '2106535501', NULL, 'PO Box 34537', 'San Antonio', 'Bexar', 'TX', '78265', '2106535501', '', 'TXOBG', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2010-01-01', 0, 0, 0, 'North Central Baptist Hospital', '', '', '', 'HCFA|UB|', '1952333213', 0, 'Y', 0, '2014-04-08', NULL, NULL, 0, 0, NULL, NULL),
('742862554', 'TX0000566', 'TX0000566', 'TX01', 'Northeast OB-GYN Associates', 'Ingrid', 'P', 'Skop', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'B', 'PO Box 34537', 'San Antonio', 'Bexar', 'TX', '78265', '2106535501', NULL, 'PO Box 34537', 'San Antonio', 'Bexar', 'TX', '78265', '2106535501', '', 'TXOBG', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2010-01-01', 0, 0, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1275542698', 0, 'Y', 0, '2013-05-24', NULL, NULL, 0, 0, NULL, NULL),
('742862554', 'TX0000567', 'TX0000567', 'TX01', 'Northeast OB-GYN Associates', 'Mark', 'E', 'Thompson', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'B', 'PO Box 34537', 'San Antonio', 'Bexar', 'TX', '78265', '2106535501', NULL, 'PO Box 34537', 'San Antonio', 'Bexar', 'TX', '78265', '2106535501', '', 'TXOBG', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2010-01-01', 0, 0, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1821017484', 0, 'Y', 0, '2013-05-24', NULL, NULL, 0, 0, NULL, NULL),
('742862554', 'TX0000568', 'TX0000568', 'TX01', 'Northeast OB-GYN Associates', 'Anna', 'L', 'Chavana', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'B', 'PO Box 34537', 'San Antonio', 'Bexar', 'TX', '78265', '2106535501', NULL, 'PO Box 34537', 'San Antonio', 'Bexar', 'TX', '78265', '2106535501', '', 'TXOBG', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2010-01-01', 0, 0, 0, 'North Central Baptist Hospital', '', '', '', 'HCFA|UB|', '1689683039', 0, 'Y', 0, '2014-05-01', NULL, NULL, 0, 0, NULL, NULL),
('742862554', 'TX0000569', 'TX0000569', 'TX01', 'Northeast OB-GYN Associates', 'Cameron', '', 'Powell', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'B', 'PO Box 34537', 'San Antonio', 'Bexar', 'TX', '78265', '2106535501', NULL, 'PO Box 34537', 'San Antonio', 'Bexar', 'TX', '78265', '2106535501', '', 'TXOBG', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2009-06-11', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000008243', 0, 'Y', 0, '2013-04-24', NULL, NULL, 0, 0, NULL, NULL),
('742862554', 'TX0000570', 'TX0000570', 'TX01', 'Northeast OB-GYN Associates', 'Joy', 'T', 'Aden', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'B', 'PO Box 34537', 'San Antonio', 'Bexar', 'TX', '78265', '2106535501', NULL, 'PO Box 34537', 'San Antonio', 'Bexar', 'TX', '78265', '2106535501', '', 'TXOBG', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2010-01-01', 0, 0, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1114936408', 0, 'Y', 0, '2013-04-24', NULL, NULL, 0, 0, NULL, NULL),
('742862554', 'TX0000571', 'TX0000571', 'TX01', 'Northeast OB-GYN Associates', 'Joseph', 'R', 'Garza', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'B', 'PO Box 34537', 'San Antonio', 'Bexar', 'TX', '78265', '2106535501', NULL, 'PO Box 34537', 'San Antonio', 'Bexar', 'TX', '78265', '2106535501', '', 'TXOBG', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2010-01-01', 0, 0, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1144210121', 0, 'Y', 0, '2013-05-01', NULL, NULL, 0, 0, NULL, NULL),
('742862554', 'TX0000572', 'TX0000572', 'TX01', 'Northeast OB-GYN Associates', 'Elizabeth', 'A', 'King', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'B', 'PO Box 34537', 'San Antonio', 'Bexar', 'TX', '78265', '2106535501', NULL, 'PO Box 34537', 'San Antonio', 'Bexar', 'TX', '78265', '2106535501', '', 'TXOBG', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2010-01-01', 0, 0, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1184643769', 0, 'Y', 0, '2013-05-02', NULL, NULL, 0, 0, NULL, NULL),
('742862554', 'TX0000573', 'TX0000573', 'TX01', 'Northeast OB-GYN Associates', 'Gil', NULL, 'Villanueva', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'B', 'PO Box 34537', 'San Antonio', 'Bexar', 'TX', '78265', '2106535501', NULL, '2391 N E Loop 410', 'San Antonio', '', 'TX', '78212', '', '', 'TXOBG', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2009-02-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000009448', 0, 'Y', 0, '2007-01-11', NULL, NULL, 0, 0, NULL, NULL),
('742862554', 'TX0000574', 'TX0000574', 'TX01', 'Northeast OB-GYN Associates', 'Tammy', 'J', 'Murdock', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'B', 'PO Box 34537', 'San Antonio', 'Bexar', 'TX', '78265', '2106535501', NULL, '2391 N E Loop 410', 'San Antonio', 'Bexar', 'TX', '78212', '2106535501', '', 'TXOBG', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2010-01-01', NULL, 0, 0, '', '', '', '', 'HCFA|UB|', '1831124452', 0, 'Y', 0, '2011-12-19', NULL, NULL, 0, 0, NULL, NULL),
('742862554', 'TX0000575', 'TX0000575', 'TX01', 'Northeast OB-GYN Associates', 'Bruce', 'H', 'Thompson', 'MD', 'Gynecology', '', '', NULL, 'B', 'PO Box 34537', 'San Antonio', 'Bexar', 'TX', '78265', '2106535501', NULL, 'PO Box 34537', 'San Antonio', 'Bexar', 'TX', '78265', '2106535501', '', 'TXOBG', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2010-01-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1457360844', 0, 'Y', 0, '2012-04-25', NULL, NULL, 0, 0, NULL, NULL),
('742288732', 'TX0000576', 'TX0000576', 'TX01', NULL, 'Kay', '', 'Morris', 'MD', 'Obstetrics and Gynecology', '', '', NULL, 'O', '14800 San Pedro Ste 206', 'San Antonio', 'Bexar', 'TX', '78232', '2106466700', '2106466705', '14800 San Pedro Ste 206', 'San Antonio', 'Bexar', 'TX', '78232', '2106466700', '2106466705', 'TXOBG', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'North East Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1578591343', 0, 'N', 0, '2012-10-15', NULL, NULL, 29.5764, -98.4773, NULL, NULL),
('742529053', 'TX0000577', 'TX0000577', 'TX01', 'Sunbelt Obgyn', 'Lillian', 'M', 'Jones', 'MD', 'Gynecology', '', '', NULL, 'O', '7922 Ewing Halsell Ste 160', 'San Antonio', 'Bexar', 'TX', '78229', '2106145665', NULL, '7922 Ewing Halsell Ste 160', 'San Antonio', 'Bexar', 'TX', '78229', '2106145665', '          ', 'TXOBG', 'TXHCPCS', '', '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-09-19', 0, 0, 0, 'Baptist Medical Center', '', '', '', 'HCFA|UB|', '1149249921', 0, 'N', 0, '2013-07-29', NULL, NULL, 29.5129, -98.5728, NULL, NULL),
('742232132', 'TX0000578', 'TX0000578', 'TX01', NULL, 'George', 'I', 'Stern', 'MD', 'Obstetrics and Gynecology', NULL, NULL, NULL, 'O', '7922 Ewing Halsell Ste 260', 'San Antonio', 'Bexar', 'TX', '78229', '2106147007', '2106157634', '7922 Ewing Halsell', 'San Antonio', '', 'TX', '78229', '', '', 'TXOBG', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2009-07-20', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1073605416', 0, 'N', 0, '2007-01-11', NULL, NULL, 29.5129, -98.5728, NULL, NULL),
('742591869', 'TX0000579', 'TX0000579', 'TX01', 'Women Partners in OBGYN', '', '', 'Women Partners in OBGYN', '', 'Obstetrics and Gynecology', '', '', NULL, 'O', '502 Madison Oak Dr Ste 300', 'San Antonio', 'Bexar', 'TX', '78258', '2109461300', NULL, '502 Madison Oak Dr Ste 300', 'San Antonio', 'Bexar', 'TX', '78258', '2109461300', '', 'TXOBG', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000009659', 0, 'N', 0, '2013-05-06', NULL, NULL, 29.6202, -98.49, NULL, NULL),
('742591869', 'TX0000580', 'TX0000580', 'TX01', 'Women Partners in OBGYN', '', '', 'Women Partners in OBGYN', '', 'Obstetrics and Gynecology', '', '', NULL, 'O', '5000 Baptist Health Dr Ste 100', 'Schertz', 'Guadalupe', 'TX', '78154', '2109461300', NULL, '5000 Baptist Health Dr Ste 100', 'Schertz', 'Guadalupe', 'TX', '78154', '2109461300', '', 'TXOBG', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000009659', 0, 'Y', 0, '2013-05-06', NULL, NULL, 29.5978, -98.2751, NULL, NULL),
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INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
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('743003947', 'TX0000733', 'TX0000733', 'TX01', 'The San Antonio Orthopaedic Group', 'Sergio', '', 'Viroslav', 'MD', 'Orthopedic Surgery', '', '', NULL, 'O', '4243 E Southcross Blvd Ste 204', 'San Antonio', 'Bexar', 'TX', '78222', '2103965245', NULL, '4243 E Southcross Blvd Ste 204', 'San Antonio', 'Bexar', 'TX', '78222', '2103965245', '          ', 'TXORTHO', 'TXHCPCS', '', '0.00', '50.00', '0.00', 3, '2007-01-01', '2011-06-01', 0, 0, 0, 'Baptist Medical Center', 'Mission Trail Baptist Hospital', NULL, NULL, 'HCFA|UB|', '1760424790', 0, 'N', 0, '2013-05-31', NULL, NULL, 0, 0, NULL, NULL),
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('743003947', 'TX0000735', 'TX0000735', 'TX01', 'The San Antonio Orthopaedic Group', 'Thilo', 'R', 'Weissflog', 'MD', 'Orthopedic Surgery', NULL, NULL, NULL, 'O', '1200 Brooklyn Ave Ste 320', 'San Antonio', 'Bexar', 'TX', '78212', '2103965327', NULL, '400 Concord Plaza Dr', 'San Antonio', '', 'TX', '78216', '', '', 'TXORTHO', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2009-01-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000009563', 0, 'N', 0, '2007-01-11', NULL, NULL, 29.4403, -98.4903, NULL, NULL),
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('743003947', 'TX0000738', 'TX0000738', 'TX01', 'The San Antonio Orthopaedic Group', '', '', 'The San Antonio Orthopedic Group LLP', 'GROUP', 'Orthopedic Surgery', 'Physical Therapy', '', NULL, 'O', '400 Concord Plaza Dr Ste 300', 'San Antonio', 'Bexar', 'TX', '78216', '2108045400', NULL, '400 Concord Plaza Dr Ste 300', 'San Antonio', 'Bexar', 'TX', '78216', '2108045400', '', 'TXORTHO', 'TXHCPCS', '', '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000009051', 0, 'N', 0, '2014-07-18', NULL, NULL, 29.5058, -98.4805, NULL, NULL),
('743003947', 'TX0000739', 'TX0000739', 'TX01', 'The San Antonio Orthopaedic Group', '', '', 'The San Antonio Orthopedic Group LLP', 'GROUP', 'Orthopedic Surgery', 'Physical Therapy', '', NULL, 'O', '150 E Sonterra Blvd Ste 300', 'San Antonio', 'Bexar', 'TX', '78258', '2108045400', NULL, '150 E Sonterra Blvd Ste 300', 'San Antonio', 'Bexar', 'TX', '78258', '2108045400', '', 'TXORTHO', 'TXHCPCS', '', '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000009051', 0, 'N', 0, '2014-07-18', NULL, NULL, 29.6152, -98.4924, NULL, NULL),
('743003947', 'TX0000740', 'TX0000740', 'TX01', 'The San Antonio Orthopaedic Group', '', '', 'The San Antonio Orthopedic Group LLP', 'GROUP', 'Orthopedic Surgery', 'Physical Therapy', '', NULL, 'O', '2829 Babcock Rd Ste 700', 'San Antonio', 'Bexar', 'TX', '78229', '2108045400', NULL, '2829 Babcock Rd Ste 700', 'San Antonio', 'Bexar', 'TX', '78229', '2108045400', '', 'TXORTHO', 'TXHCPCS', '', '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000009051', 0, 'N', 0, '2014-07-18', NULL, NULL, 29.5138, -98.5907, NULL, NULL),
('743003947', 'TX0000741', 'TX0000741', 'TX01', 'The San Antonio Orthopaedic Group', '', '', 'The San Antonio Orthopedic Group LLP', 'GROUP', 'Orthopedic Surgery', 'Physical Therapy', '', NULL, 'O', '1200 Brooklyn Ave Ste 320', 'San Antonio', 'Bexar', 'TX', '78212', '2108045400', NULL, '1200 Brooklyn Ave Ste 320', 'San Antonio', 'Bexar', 'TX', '78212', '2108045400', '', 'TXORTHO', 'TXHCPCS', '', '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000009051', 0, 'N', 0, '2014-07-18', NULL, NULL, 29.4403, -98.4903, NULL, NULL),
('743003947', 'TX0000742', 'TX0000742', 'TX01', 'The San Antonio Orthopaedic Group', '', '', 'The San Antonio Orthopedic Group LLP', 'GROUP', 'Orthopedic Surgery', 'Physical Therapy', '', NULL, 'O', '4243 E Southcross Blvd Ste 204', 'San Antonio', 'Bexar', 'TX', '78222', '2108045400', NULL, '4243 E Southcross Blvd Ste 204', 'San Antonio', 'Bexar', 'TX', '78222', '2108045400', '', 'TXORTHO', 'TXHCPCS', '', '0.00', '50.00', '0.00', 3, '2007-01-01', '2011-06-01', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000009051', 0, 'N', 0, '2014-07-18', NULL, NULL, 0, 0, NULL, NULL),
('741992988', 'TX0000743', 'TX0000743', 'TX01', NULL, 'Alberto', 'T', 'Fernandez', 'MD', 'Ear, Nose and Throat', '', '', NULL, 'O', '343 W Houston St Ste 409', 'San Antonio', 'Bexar', 'TX', '78205', '2102269166', '2102269168', '343 W Houston St Ste 409', 'San Antonio', 'Bexar', 'TX', '78205', '2102269166', '2102269168', 'TXSURGB', 'TXHCPCS', '', '0.00', '50.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, 'Baptist Medical Center', '', '', '', 'HCFA|UB|', '1922015478', 0, 'N', 0, '2014-07-17', NULL, NULL, 29.4264, -98.4967, NULL, NULL),
('742625722', 'TX0000744', 'TX0000744', 'TX01', 'Alamo ENT Associates', 'William', 'W', 'Gordon', 'MD', 'Ear, Nose and Throat', 'Pediatric Ear, Nose and Throat', '', NULL, 'O', '7940 Floyd Curl Dr Ste 400', 'San Antonio', 'Bexar', 'TX', '78229', '2106160096', NULL, '7940 Floyd Curl Dr Ste 400', 'San Antonio', 'Bexar', 'TX', '78229', '2106160096', '', 'TXSURGB', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'Baptist Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1205844297', 0, 'N', 0, '2013-04-04', NULL, NULL, 29.5117, -98.5756, NULL, NULL),
('742625722', 'TX0000745', 'TX0000745', 'TX01', 'Alamo ENT Associates', 'Cary', 'E', 'Stratton', 'MD', 'Ear, Nose and Throat', '', '', NULL, 'O', '7940 Floyd Curl Dr Ste 400', 'San Antonio', 'Bexar', 'TX', '78229', '2106160096', NULL, '7940 Floyd Curl Dr Ste 400', 'San Antonio', 'Bexar', 'TX', '78229', '2106160096', '', 'TXSURGB', 'TXHCPCS', '', '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'Baptist Medical Center', '', '', '', 'HCFA|UB|', '1578571568', 0, 'N', 0, '2014-07-17', NULL, NULL, 29.5117, -98.5756, NULL, NULL),
('742625722', 'TX0000746', 'TX0000746', 'TX01', 'Alamo ENT Associates', 'Thomas', 'W', 'Nau', 'MD', 'Ear, Nose and Throat', 'Pediatric Ear, Nose and Throat', '', NULL, 'O', '7940 Floyd Curl Dr Ste 400', 'San Antonio', 'Bexar', 'TX', '78229', '2106160096', NULL, '7940 Floyd Curl Dr Ste 400', 'San Antonio', 'Bexar', 'TX', '78229', '2106160096', '', 'TXSURGB', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'Baptist Medical Center', 'North East Baptist Hospital', NULL, NULL, 'HCFA|UB|', '1942218938', 0, 'N', 0, '2013-04-04', NULL, NULL, 29.5117, -98.5756, NULL, NULL),
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('741895428', 'TX0000811', 'TX0000811', 'TX01', 'Ear Nose & Throat Clinics of San Antonio PA', 'Manuel', '', 'Lopez', 'MD', 'Ear, Nose and Throat', '', '', NULL, 'O', '150 E Sonterra Blvd Ste 200', 'San Antonio', 'Bexar', 'TX', '78258', '2104990732', NULL, '150 E Sonterra Blvd Ste 200', 'San Antonio', 'Bexar', 'TX', '78258', '2104990732', '', 'TXSURGE', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1770505984', 0, 'N', 0, '2013-04-24', NULL, NULL, 29.6152, -98.4924, NULL, NULL),
('741895428', 'TX0000812', 'TX0000812', 'TX01', 'Ear Nose & Throat Clinics of San Antonio PA', 'Thomas', '', 'Davis', 'MD', 'Ear, Nose and Throat', 'Pediatric Ear, Nose and Throat', 'Sleep Medicine', NULL, 'O', '4775 Hamilton Wolfe Bldg 1', 'San Antonio', 'Bexar', 'TX', '78229', '2106158332', NULL, '4775 Hamilton Wolfe Bldg 1', 'San Antonio', 'Bexar', 'TX', '78229', '2106158332', '          ', 'TXSURGE', 'TXHCPCS', '', '0.00', '50.00', '0.00', 3, '2007-01-01', '2009-07-24', 0, 0, 0, 'Campbell County Memorial Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1336139120', 0, 'N', 0, '2013-11-08', NULL, NULL, 29.5215, -98.5823, NULL, NULL),
('741895428', 'TX0000813', 'TX0000813', 'TX01', 'Ear Nose & Throat Clinics of San Antonio PA', 'Lee', NULL, 'Miller', 'MD', 'Ear, Nose and Throat', 'Pediatric Ear, Nose and Throat', NULL, NULL, 'O', '4775 Hamilton Wolfe Bldg 1', 'San Antonio', 'Bexar', 'TX', '78229', '2106158332', NULL, 'PO Box 29487', 'San Antonio', '', 'TX', '78229', '', '', 'TXSURGE', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2009-07-24', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007620', 0, 'N', 0, '2007-01-11', NULL, NULL, 29.5215, -98.5823, NULL, NULL),
('742246239', 'TX0000814', 'TX0000814', 'TX01', 'San Antonio Gastroenterology Associates', 'Thomas', 'S', 'Denapoli', 'MD', 'Pathology', '', '', NULL, 'O', '520 E Euclid Ave', 'San Antonio', 'Bexar', 'TX', '78212', '2102710606', NULL, '520 E Euclid Ave', 'San Antonio', 'Bexar', 'TX', '78212', '2102710606', '          ', 'TXSURGA', 'TXHCPCS', '', '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-12-31', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1871581165', 0, 'Y', 0, '2013-04-09', NULL, NULL, 29.4394, -98.4894, NULL, NULL),
('742246239', 'TX0000815', 'TX0000815', 'TX01', 'San Antonio Gastroenterology Associates', 'Brian', 'D', 'Towell', 'MD', 'Pathology', '', '', NULL, 'O', '520 E Euclid Ave', 'San Antonio', 'Bexar', 'TX', '78212', '2102710606', NULL, '520 E Euclid', 'San Antonio', 'Bexar', 'TX', '78212', '2102710606', '', 'TXSURGA', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1265420608', 0, 'Y', 0, '2012-08-23', NULL, NULL, 29.4396, -98.4902, NULL, NULL),
('742246239', 'TX0000816', 'TX0000816', 'TX01', 'San Antonio Gastroenterology Associates', 'Hugh', 'E', 'Tobin', 'MD', 'Pathology', NULL, NULL, NULL, 'O', '520 E Euclid Ave', 'San Antonio', 'Bexar', 'TX', '78212', '2102710606', NULL, '520 Euclid', 'San Antonio', '', 'TX', '78212', '', '', 'TXSURGA', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2009-07-22', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000009111', 0, 'Y', 0, '2007-01-11', NULL, NULL, 29.4394, -98.4894, NULL, NULL),
('742246239', 'TX0000817', 'TX0000817', 'TX01', 'San Antonio Gastroenterology Associates', 'Cliff', 'M', 'Richmond', 'MD', 'Pathology', '', '', NULL, 'O', '520 E Euclid Ave', 'San Antonio', 'Bexar', 'TX', '78212', '2102710606', NULL, '520 E Euclid', 'San Antonio', 'Bexar', 'TX', '78212', '2102710606', '', 'TXSURGA', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', NULL, 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1275521585', 0, 'Y', 0, '2012-10-12', NULL, NULL, 29.4396, -98.4902, NULL, NULL);
INSERT INTO `providers_new` (`Provider_Tax_ID`, `Provider_Suffix`, `Provider_Network_ID`, `Provider_Region`, `Provider_Name`, `Provider_Doctor_First_Name`, `Provider_Doctor_Middle_Name`, `Provider_Doctor_Last_Name`, `Provider_Doctor_Degree`, `Provider_Specialty_1`, `Provider_Specialty_2`, `Provider_Specialty_3`, `Provider_Specialty_4`, `Provider_Address_Type`, `Provider_Address`, `Provider_City`, `Provider_County`, `Provider_State`, `Provider_Zip`, `Provider_Phone`, `Provider_Fax`, `Provider_Mailing_Address`, `Provider_Mailing_City`, `Provider_Mailing_County`, `Provider_Mailing_State`, `Provider_Mailing_Zip`, `Provider_Mailing_Phone`, `Provider_Mailing_Fax`, `Provider_Primary_Schedule`, `Provider_Secondary_Schedule`, `Provider_Rate_Sheet`, `Provider_Anes_Rate`, `Provider_Default_Rate`, `Provider_Max_DOS`, `Provider_Min_Match_Value`, `Provider_Effective_Date`, `Provider_Term_Date`, `Provider_Pend`, `Provider_Anes_Minutes`, `Provider_PPO`, `Provider_Hospital_1`, `Provider_Hospital_2`, `Provider_Hospital_3`, `Provider_Hospital_4`, `Provider_Type`, `Provider_NPI`, `Provider_Check_Override`, `Exclude_Dir`, `Audit_Status`, `Last_Change_Date`, `Medicare_ID`, `Provider_Lang`, `Provider_Latitude`, `Provider_Longitude`, `Provider_school`, `Provider_cert`) VALUES
('204274138', 'TX0000818', 'TX0000818', 'TX01', '', 'Tarak', 'J', 'Patel', 'MD', 'Sleep Medicine', 'Pediatric Pulmonology', 'Pediatric Pulmonology', NULL, 'O', '525 Oak Center Ste 400', 'San Antonio', 'Bexar', 'TX', '78258', '2104944043', NULL, '525 Oak Center Ste 400', 'San Antonio', 'Bexar', 'TX', '78258', '2104944043', '          ', 'TXSURGC', 'TXHCPCS', '', '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-01', 0, 0, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1013954221', 0, 'Y', 0, '2012-08-16', NULL, NULL, 0, 0, NULL, NULL),
('204274138', 'TX0000819', 'TX0000819', 'TX01', 'San Antonio Pediatric', 'Tarak', 'J', 'Patel', 'MD', 'Sleep Medicine', 'Pediatric Pulmonology', 'Pediatric Pulmonology', NULL, 'O', 'PO Box 1150', 'San Antonio', 'Bexar', 'TX', '78248', '2104944043', NULL, '1150 N 1604 W', 'San Antonio', '', 'TX', '78248', '', '', 'TXSURGC', 'TXHCPCS', NULL, '0.00', '50.00', NULL, 3, '2007-01-01', '2007-01-01', 0, NULL, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1013954221', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('741901441', 'TX0000820', 'TX0000820', 'TX01', NULL, 'Gloria', 'B', 'Abraham-Cox', 'MD', 'Pediatrics', '', '', NULL, 'O', '311 Camden Ste 412', 'San Antonio', 'Bexar', 'TX', '78215', '2102228798', NULL, '311 Camden Ste 412', 'San Antonio', 'Bexar', 'TX', '78215', '2102228798', '', 'TXPED', 'TXHCPCS', '', '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'Baptist Medical Center', '', '', '', 'HCFA|UB|', '1295844132', 0, 'N', 0, '2014-05-16', NULL, NULL, 29.4347, -98.4923, NULL, NULL),
('746141855', 'TX0000821', 'TX0000821', 'TX01', 'Pediatrics & Adolescents', 'Joseph', '', 'Borenstein', 'MD', 'Pediatrics', '', '', NULL, 'O', '3111 San Pedro Ave', 'San Antonio', 'Bexar', 'TX', '78212', '2107327141', NULL, '3111 San Pedro Ave', 'San Antonio', 'Bexar', 'TX', '78212', '2107327141', '          ', 'TXPED', 'TXHCPCS', '', '0.00', '50.00', '0.00', 3, '2007-01-01', '2011-01-01', NULL, 0, NULL, '', '', '', '', 'HCFA|UB|', '1417924903', 0, 'N', 0, '2011-02-02', NULL, NULL, 29.4646, -98.4996, NULL, NULL),
('746141855', 'TX0000822', 'TX0000822', 'TX01', 'Pediatrics & Adolescents', 'Henry', 'J', 'Lipsitt', 'MD', 'Pediatrics', '', '', NULL, 'O', '3111 San Pedro Ave', 'San Antonio', 'Bexar', 'TX', '78212', '2107327141', NULL, '3111 San Pedro Ave', 'San Antonio', 'Bexar', 'TX', '78212', '2107327141', '', 'TXPED', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'Baptist Medical Center', '', '', '', 'HCFA|UB|', '1629091269', 0, 'N', 0, '2013-04-09', NULL, NULL, 29.4646, -98.4996, NULL, NULL),
('746141855', 'TX0000823', 'TX0000823', 'TX01', 'Pediatrics & Adolescents', 'David', 'W', 'Johnson', 'MD', 'Pediatrics', '', '', NULL, 'O', '3111 San Pedro Ave', 'San Antonio', 'Bexar', 'TX', '78212', '2107327141', NULL, '3111 San Pedro Ave', 'San Antonio', 'Bexar', 'TX', '78212', '2107327141', '', 'TXPED', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'Baptist Medical Center', '', '', '', 'HCFA|UB|', '1326061011', 0, 'N', 0, '2012-05-14', NULL, NULL, 29.4646, -98.4996, NULL, NULL),
('746141855', 'TX0000824', 'TX0000824', 'TX01', 'Pediatrics & Adolescents', 'Stephen', 'A', 'Maxwell', 'MD', 'Pediatrics', '', '', NULL, 'O', '3111 San Pedro Ave', 'San Antonio', 'Bexar', 'TX', '78212', '2107327141', NULL, '3111 San Pedro Ave', 'San Antonio', 'Bexar', 'TX', '78212', '2107327141', '', 'TXPED', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'Baptist Medical Center', '', '', '', 'HCFA|UB|', '1649293234', 0, 'N', 0, '2012-05-18', NULL, NULL, 29.4646, -98.4996, NULL, NULL),
('746141855', 'TX0000825', 'TX0000825', 'TX01', 'Pediatrics & Adolescents', 'Shaylon', 'D', 'Rettig', 'MD', 'Pediatrics', '', '', NULL, 'O', '3111 San Pedro Ave', 'San Antonio', 'Bexar', 'TX', '78212', '2107327141', NULL, '3111 San Pedro Ave', 'San Antonio', 'Bexar', 'TX', '78212', '2107327141', '', 'TXPED', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1679595045', 0, 'N', 0, '2012-09-04', NULL, NULL, 29.4646, -98.4996, NULL, NULL),
('742962755', 'TX0000826', 'TX0000826', 'TX01', 'Stone Oak Pediatrics', 'Annette', NULL, 'Gunsberg', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '540 Oak Ctr Ste 200', 'San Antonio', 'Bexar', 'TX', '78258', '2104032229', NULL, '540 Oak Ctr', 'San Antonio', '', 'TX', '78258', '', '', 'TXPED', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '0000006511', 0, 'N', 0, '2007-01-11', NULL, NULL, 29.6189, -98.4939, NULL, NULL),
('742962755', 'TX0000827', 'TX0000827', 'TX01', 'Stone Oak Pediatrics', 'Cheryl', NULL, 'Trexler', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '540 Oak Ctr Ste 200', 'San Antonio', 'Bexar', 'TX', '78258', '2104032229', NULL, '540 Oak Ctr', 'San Antonio', '', 'TX', '78258', '', '', 'TXPED', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2009-05-05', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000009178', 0, 'N', 0, '2007-01-11', NULL, NULL, 29.6189, -98.4939, NULL, NULL),
('742962755', 'TX0000828', 'TX0000828', 'TX01', 'Stone Oak Pediatrics', 'Sara', 'D', 'Bourland', 'MD', 'Pediatrics', '', '', NULL, 'O', '540 Oak Ctr Ste 200', 'San Antonio', 'Bexar', 'TX', '78258', '2104032229', NULL, '540 Oak Ctr Ste 200', 'San Antonio', 'Bexar', 'TX', '78258', '2104032229', '', 'TXPED', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1801987342', 0, 'N', 0, '2013-05-06', NULL, NULL, 29.6189, -98.4939, NULL, NULL),
('141694904', 'TX0000829', 'TX0000829', 'TX01', 'Child Care Associates', 'Donald', NULL, 'Hilliard', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '203 E Evergreen', 'San Antonio', 'Bexar', 'TX', '78212', '2102257171', NULL, '203 E Evergreen', 'San Antonio', '', 'TX', '78212', '', '', 'TXPED', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2009-12-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006717', 0, 'N', 0, '2007-01-11', NULL, NULL, 29.4431, -98.4928, NULL, NULL),
('742478680', 'TX0000830', 'TX0000830', 'TX01', 'Ostrower Nieheisel & Davis MD', 'Laura', 'F', 'Davis', 'MD', 'Pediatrics', '', '', NULL, 'O', '4499 Medical Dr Ste 280', 'San Antonio', 'Bexar', 'TX', '78229', '2106144499', NULL, '4499 Medical Dr Ste 280', 'San Antonio', 'Bexar', 'TX', '78229', '2106144499', '', 'TXPED', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'Baptist Medical Center', '', '', '', 'HCFA|UB|', '1578666947', 0, 'N', 0, '2013-12-10', NULL, NULL, 29.5105, -98.5737, NULL, NULL),
('742478680', 'TX0000831', 'TX0000831', 'TX01', 'Ostrower Nieheisel & Davis MD', 'Margaret', 'D', 'Neiheisel', 'MD', 'Pediatrics', '', '', NULL, 'O', '4499 Medical Dr Ste 280', 'San Antonio', 'Bexar', 'TX', '78229', '2106144499', NULL, '4499 Medical Dr Ste 280', 'San Antonio', 'Bexar', 'TX', '78229', '2106144499', '', 'TXPED', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'Baptist Medical Center', '', '', '', 'HCFA|UB|', '1073627741', 0, 'N', 0, '2014-03-24', NULL, NULL, 29.5105, -98.5737, NULL, NULL),
('742478680', 'TX0000832', 'TX0000832', 'TX01', 'Ostrower Nieheisel & Davis MD', 'Valerie', 'G', 'Ostrower', 'MD', 'Pediatrics', '', '', NULL, 'O', '4499 Medical Dr Ste 280', 'San Antonio', 'Bexar', 'TX', '78229', '2106144499', NULL, '4499 Medical Dr Ste 280', 'San Antonio', 'Bexar', 'TX', '78229', '2106144499', '', 'TXPED', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1659328359', 0, 'N', 0, '2014-04-04', NULL, NULL, 29.5105, -98.5737, NULL, NULL),
('742165601', 'TX0000833', 'TX0000833', 'TX01', 'Medical Center Pediatrics', 'Raymond', NULL, 'Ruenes', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '2020 Babcock Rd Ste 19', 'San Antonio', 'Bexar', 'TX', '78229', '2106145000', NULL, '2020 Babcock Rd', 'San Antonio', 'Bexar', 'TX', '78229', '2106145000', '          ', 'TXPEDB', 'TXHCPCS', '', '0.00', '60.00', '0.00', 3, '2007-01-01', '2011-01-25', NULL, 0, NULL, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1275578254', 0, 'N', 0, '2007-01-11', NULL, NULL, 0, 0, NULL, NULL),
('742165601', 'TX0000834', 'TX0000834', 'TX01', 'Medical Center Pediatrics', 'Jose', 'A', 'Cardenas', 'MD', 'Pediatrics', NULL, NULL, NULL, 'O', '2020 Babcock Rd Ste 19', 'San Antonio', 'Bexar', 'TX', '78229', '2106145000', NULL, '2020 Babcock Rd', 'San Antonio', 'Bexar', 'TX', '78229', '2106145000', '          ', 'TXPEDB', 'TXHCPCS', '', '0.00', '60.00', '0.00', 3, '2007-01-01', '2011-01-25', NULL, 0, NULL, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1295770519', 0, 'N', 0, '2007-01-11', NULL, NULL, 0, 0, NULL, NULL),
('742165601', 'TX0000835', 'TX0000835', 'TX01', 'Medical Center Pediatrics', 'Carmen', 'T', 'Garza', 'MD', 'Pediatrics', '', '', NULL, 'O', '2020 Babcock Rd Ste 19', 'San Antonio', 'Bexar', 'TX', '78229', '2106145000', NULL, '2020 Babcock Rd', 'San Antonio', 'Bexar', 'TX', '78229', '2106145000', '          ', 'TXPEDB', 'TXHCPCS', '', '0.00', '60.00', '0.00', 3, '2007-01-01', '2011-01-25', NULL, 0, NULL, 'St Lukes Baptist Hospital', NULL, '', '', 'HCFA|UB|', '1750326088', 0, 'N', 0, '2007-01-11', NULL, NULL, 0, 0, NULL, NULL),
('743003947', 'TX0000836', 'TX0000836', 'TX01', 'The San Antonio Orthopaedic Group', 'Heather', 'A', 'McKenzie', 'MD', 'Physical Medicine and Rehabilitation', NULL, NULL, NULL, 'B', 'PO Box 2516', 'San Antonio', 'Bexar', 'TX', '78258', '8004454263', NULL, '400 Concord Plaza Dr', 'San Antonio', '', 'TX', '78216', '', '', 'TXORTHO', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2009-10-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000007525', 0, 'Y', 0, '2007-03-13', NULL, NULL, 0, 0, NULL, NULL),
('760714523', 'TX0000837', 'TX0000837', 'TX01', 'Health Link', NULL, NULL, 'Health Link', 'PT', 'Physical Therapy', NULL, NULL, NULL, 'B', '288 Bitters Rd', 'San Antonio', 'Bexar', 'TX', '78216', '2102979900', NULL, '615 Soledad ', 'San Antonio', '', 'TX', '78205', '', '', '', NULL, 'Baptist', '0.00', '100.00', '0.00', 3, '2007-01-01', NULL, 1, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '0000006633', 0, 'Y', 0, '2007-03-13', NULL, NULL, 0, 0, NULL, NULL),
('742357119', 'TX0000838', 'TX0000838', 'TX01', NULL, 'Terry', 'L', 'Westfield', 'MD', 'Ear, Nose and Throat', 'Plastic Surgery', '', NULL, 'O', '540 Madison Oak Dr Ste 370', 'San Antonio', 'Bexar', 'TX', '78258', '2106920012', NULL, '540 Madison Oak Ste 370', 'San Antonio', 'Bexar', 'TX', '78258', '2106920012', '', 'TXSURGA', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1760512560', 0, 'N', 0, '2012-06-07', NULL, NULL, 29.6203, -98.4928, NULL, NULL),
('742780060', 'TX0000839', 'TX0000839', 'TX01', 'Advanced Family Footcare Centers', 'Robert', 'E', 'Graser', 'DPM', 'Podiatry', '', '', NULL, 'O', '98 Briggs Ave Ste 925', 'San Antonio', 'Bexar', 'TX', '78224', '2109221551', NULL, '98 Briggs Ave Ste 925', 'San Antonio', 'Bexar', 'TX', '78224', '2109221551', '', 'TXSTD', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'Baptist Medical Center', '', '', '', 'HCFA|UB|', '1457300931', 0, 'N', 0, '2012-06-18', NULL, NULL, 29.3551, -98.5509, NULL, NULL),
('742780060', 'TX0000840', 'TX0000840', 'TX01', 'Advanced Family Footcare Centers', 'Robert', 'E', 'Graser', 'DPM', 'Podiatry', '', '', NULL, 'O', '155 Sonterra Blvd Ste 201', 'San Antonio', 'Bexar', 'TX', '78258', '2109221551', NULL, '155 Sonterra Blvd Ste 201', 'San Antonio', 'Bexar', 'TX', '78258', '2109221551', '', 'TXSTD', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2010-01-01', 0, 0, 0, 'Baptist Medical Center', '', '', '', 'HCFA|UB|', '1457300931', 0, 'N', 0, '2012-06-18', NULL, NULL, 29.6171, -98.4927, NULL, NULL),
('742859617', 'TX0000841', 'TX0000841', 'TX01', 'Southeast Foot Care', 'Wilburn', 'E', 'Thomas', 'DPM', 'Podiatry', '', '', NULL, 'O', '4320 S Gevers Ste 300', 'San Antonio', 'Bexar', 'TX', '78223', '2105334455', NULL, '4320 S Gevers Ste 300', 'San Antonio', 'Bexar', 'TX', '78223', '2105334455', '', 'TXSTD', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'Baptist Medical Center', '', '', '', 'HCFA|UB|', '1669530523', 0, 'N', 0, '2013-07-10', NULL, NULL, 29.3746, -98.4565, NULL, NULL),
('320106254', 'TX0000842', 'TX0000842', 'TX01', 'Lone Star Foot & Ankle Center', 'Robert', 'P', 'Cyr', 'DPM', 'Podiatry', '', '', NULL, 'O', '343 W Houston St Ste 612', 'San Antonio', 'Bexar', 'TX', '78205', '2102124595', NULL, '343 W Houston St Ste 612', 'San Antonio', 'Bexar', 'TX', '78205', '2102124595', '', 'TXSTD', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'Baptist Medical Center', '', '', '', 'HCFA|UB|', '1285735456', 0, 'N', 0, '2013-04-11', NULL, NULL, 29.4267, -98.4973, NULL, NULL),
('113676182', 'TX0000843', 'TX0000843', 'TX01', 'The Podiatry Group of South Texas', 'Arush', 'K', 'Angirasa', 'DPM', 'Podiatry', '', '', NULL, 'O', '2950 Thousand Oaks Ste 25', 'San Antonio', 'Bexar', 'TX', '78247', '2105459100', '2105459299', '2950 Thousand Oaks Ste 25', 'San Antonio', 'Bexar', 'TX', '78247', '2105459100', '2105459299', 'TXSTD', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2010-01-14', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1740271196', 0, 'N', 0, '2013-04-24', NULL, NULL, 0, 0, NULL, NULL),
('113676182', 'TX0000844', 'TX0000844', 'TX01', 'The Podiatry Group of South Texas', 'Arush', 'K', 'Angirasa', 'DPM', 'Podiatry', '', '', NULL, 'O', '414 Navarro Ste 811', 'San Antonio', 'Bexar', 'TX', '78205', '2102221077', '2102221215', '414 Navarro Ste 811', 'San Antonio', 'Bexar', 'TX', '78205', '2102221077', '2102221215', 'TXSTD', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '1740271196', 0, 'N', 0, '2013-04-24', NULL, NULL, 29.4256, -98.4895, NULL, NULL),
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('113676182', 'TX0000854', 'TX0000854', 'TX01', 'The Podiatry Group of South Texas', 'Richard', 'N', 'Goad', 'DPM', 'Podiatry', '', '', NULL, 'O', '333 N Santa Rosa St', 'San Antonio', 'Bexar', 'TX', '78208', '2102993922', NULL, '333 N Santa Rosa St', 'San Antonio', 'Bexar', 'TX', '78208', '2102993922', '          ', 'TXSTD', 'TXHCPCS', '', '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-05-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1023009511', 0, 'N', 0, '2012-07-02', NULL, NULL, 0, 0, NULL, NULL),
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('742878134', 'TX0000954', 'TX0000954', 'TX01', 'Northeast Internal Medicine Associates', 'Heine', NULL, 'Ruiz', 'MD', 'Internal Medicine', NULL, NULL, NULL, 'O', '12602 Toepperwein Rd Ste 100', 'San Antonio', 'Bexar', 'TX', '78233', '2106509669', NULL, '12602 Toepperwein', 'San Antonio', '', 'TX', '78233', '', '', 'TXINT', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2009-03-31', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1962553255', 0, 'N', 0, '2009-08-11', NULL, NULL, 0, 0, NULL, NULL),
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('741849254', 'TX0000960', 'TX0000960', 'TX01', '', 'Morris', 'E', 'Franklin', 'MD', 'General Surgery', '', '', NULL, 'O', '4242 E Southcross Blvd Ste 1', 'San Antonio', 'Bexar', 'TX', '78222', '2103337510', NULL, '4242 E Southcross Blvd Ste 1', 'San Antonio', 'Bexar', 'TX', '78222', '2103337510', '', 'TXSURGB', 'TXHCPCS', '', '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'North Central Baptist Hospital', '', '', '', 'HCFA|UB|', '1932104791', 0, 'N', 0, '2014-07-18', NULL, NULL, 29.374, -98.4109, NULL, NULL),
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('204025967', 'TX0000974', 'TX0000974', 'TX01', 'Pediatric Neurology and Sleep Medicine', 'Joshua', 'S', 'Rotenberg', 'MD', 'Pediatric Neurology', NULL, NULL, NULL, 'B', 'PO Box 36', 'San Antonio', 'Bexar', 'TX', '78291', '2102495020', NULL, 'PO Box 36', 'San Antonio', 'Bexar', 'TX', '78291', '2102495020', '          ', 'TXSURGC', 'TXHCPCS', '', '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-01', 0, 0, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1437149333', 0, 'N', 0, '2012-08-29', NULL, NULL, 0, 0, NULL, NULL),
('742939835', 'TX0000975', 'TX0000975', 'TX01', 'Arthritis and Osteoporosis Center of South Texas', 'John', 'P', 'Huff', 'MD,PHD', 'Rheumatology', '', '', NULL, 'O', '14615 San Pedro Ste 105', 'San Antonio', 'Bexar', 'TX', '78232', '2104040020', NULL, '14615 San Pedro Ste 105', 'San Antonio', 'Bexar', 'TX', '78232', '2104040020', '', 'TXSTD', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1912978933', 0, 'N', 0, '2014-03-06', NULL, NULL, 29.5747, -98.4798, NULL, NULL),
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('742939835', 'TX0000979', 'TX0000979', 'TX01', 'Arthritis and Osteoporosis Center of South Texas', 'John', 'P', 'Huff', 'MD,PHD', 'Rheumatology', '', '', NULL, 'B', 'PO Box 2207', 'San Antonio', 'Bexar', 'TX', '78298', '2104040020', NULL, 'PO Box 2207', 'San Antonio', 'Bexar', 'TX', '78298', '2104040020', '', 'TXSTD', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1912978933', 0, 'y', 0, '2014-01-28', NULL, NULL, 0, 0, NULL, NULL),
('742939835', 'TX0000980', 'TX0000980', 'TX01', 'Arthritis and Osteoporosis Center of South Texas', 'James', '', 'Wild', 'MD', 'Rheumatology', '', '', NULL, 'B', 'PO Box 2207', 'San Antonio', 'Bexar', 'TX', '78298', '2104040020', NULL, 'PO Box 2207', 'San Antonio', 'Bexar', 'TX', '78298', '2104040020', '', 'TXSTD', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1659343291', 0, 'y', 0, '2014-01-20', NULL, NULL, 0, 0, NULL, NULL),
('742939835', 'TX0000981', 'TX0000981', 'TX01', 'Arthritis and Osteoporosis Center of South Texas', 'William', 'W', 'White', 'MD', 'Rheumatology', '', '', NULL, 'B', 'PO Box 2207', 'San Antonio', 'Bexar', 'TX', '78298', '2104040020', NULL, 'PO Box 2207', 'San Antonio', 'Bexar', 'TX', '78298', '2104040020', '', 'TXSTD', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'Baptist Medical Center', '', '', '', 'HCFA|UB|', '1467425686', 0, 'y', 0, '2013-04-22', NULL, NULL, 0, 0, NULL, NULL),
('742939835', 'TX0000982', 'TX0000982', 'TX01', 'Arthritis and Osteoporosis Center of South Texas', 'Hoang', ' ', 'Dinh', 'MD', 'Rheumatology', NULL, NULL, NULL, 'B', 'PO Box 2207  ', 'San Antonio', 'Bexar', 'TX', '78298', '2104040020', NULL, '14615 San Pedro', 'San Antonio', '', 'TX', '78232', '', '', 'TXSTD', 'TXHCPCS', NULL, '0.00', '50.00', NULL, 3, '2007-01-01', '2007-06-29', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1386697589', 0, 'y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('205977241', 'TX0000983', 'TX0000983', 'TX01', 'Toyota Family Health Center', NULL, NULL, 'Toyota Family Health Center', 'PT', NULL, NULL, NULL, NULL, 'O', '1 Lone Star Pass Bldg 46', 'San Antonio', 'Bexar', 'TX', '78264', '2102635775', NULL, '1 Lone Star Pass Bldg 46', 'San Antonio', '', 'TX', '78264', '', '', 'TXFHCTR', 'TXHCPCS', NULL, '0.00', '50.00', NULL, 3, '2007-01-01', '2007-06-30', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '9153', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('205977241', 'TX0000984', 'TX0000984', 'TX01', 'Toyota Family Health Center', NULL, NULL, 'Toyota Family Health Center', NULL, NULL, NULL, NULL, NULL, 'O', '1 Lone Star Pass Bldg 46', 'San Antonio', 'Bexar', 'TX', '78264', '2102635700', NULL, '1 Lone Star Pass Bldg 46', 'San Antonio', '', 'TX', '78264', '', '', 'TXFHCTR', 'TXHCPCS', NULL, '0.00', '50.00', NULL, 3, '2007-01-01', '2007-06-30', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '9153', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('742763430', 'TX0000985', 'TX0000985', 'TX01', 'Allergy Asthma & Immunology Associates of South Texas', 'Madeleine', 'S', 'Ramos', 'MD', 'Allergy and Immunology', NULL, NULL, NULL, 'O', '2414 Babcock Rd Ste 109', 'San Antonio', 'Bexar', 'TX', '78229', '2106160882', NULL, '2414 Babcock', 'San Antonio', '', 'TX', '78229', '', '', 'TXSTD', 'TXHCPCS', NULL, '0.00', '50.00', NULL, 3, '2007-01-01', '2007-06-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('742763430', 'TX0000986', 'TX0000986', 'TX01', 'Allergy Asthma & Immunology Associates of South Texas', 'William', 'T', 'Kniker', 'MD', 'Allergy and Immunology', 'Pediatric Allergy and Immunology', '', NULL, 'O', '2414 Babcock Rd Ste 109', 'San Antonio', 'Bexar', 'TX', '78229', '2106160882', NULL, '2414 Babcock Rd Ste 109', 'San Antonio', 'Bexar', 'TX', '78229', '2106160882', '', 'TXSTD', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'Baptist Medical Center', '', '', '', 'HCFA|UB|', '1710978663', 0, 'N', 0, '2013-09-04', NULL, NULL, 29.5051, -98.5858, NULL, NULL),
('742763430', 'TX0000987', 'TX0000987', 'TX01', 'Allergy Asthma & Immunology Associates of South Texas', 'Melissa', 'E', 'Garcia', 'PA-C', 'Allergy and Immunology', '', '', NULL, 'O', '2414 Babcock Rd Ste 109', 'San Antonio', 'Bexar', 'TX', '78229', '2106160882', NULL, '2414 Babcock Ste 109', 'San Antonio', 'Bexar', 'TX', '78229', '2106160882', '', 'TXSTD', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-19', 0, 0, 0, 'North Central Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1205801230', 0, 'N', 0, '2012-05-18', NULL, NULL, 29.5051, -98.5858, NULL, NULL),
('743003947', 'TX0000988', 'TX0000988', 'TX01', 'The San Antonio Orthopedic Group', 'Douglas', 'W', 'Marshall', 'MD', 'Neurology', NULL, NULL, NULL, 'B', 'PO Box 2516', 'San Antonio', 'Bexar', 'TX', '78299', '8004454263', NULL, '400 Concord Plaza Dr', 'San Antonio', '', 'TX', '78216', '', '', 'TXORTHO', 'TXHCPCS', NULL, '0.00', '50.00', NULL, 3, '2007-01-01', '2007-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('743003947', 'TX0000989', 'TX0000989', 'TX01', 'The San Antonio Orthopaedic Group', 'Douglas', 'W', 'Marshall', 'MD', 'Neurology', NULL, NULL, NULL, 'O', '400 Concord Plaza Dr Ste 300', 'San Antonio', 'Bexar', 'TX', '78216', '2108045400', NULL, '400 Concord Plaza Dr', 'San Antonio', '', 'TX', '78216', '', '', 'TXORTHO', 'TXHCPCS', NULL, '0.00', '50.00', NULL, 3, '2007-01-01', '2007-01-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('742873562', 'TX0000990', 'TX0000990', 'TX01', 'Texas Cancer Clinic', '', '', 'Texas Cancer Clinic', '', 'Radiation Oncology', '', '', NULL, 'O', '9102 Floyd Curl Dr', 'San Antonio', 'Bexar', 'TX', '78240', '2102470920', NULL, '9102 Floyd Curl Dr', 'San Antonio', 'Bexar', 'TX', '78240', '2102470920', '          ', 'TXONCOL', 'TXHCPCS', '', '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-09-19', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000009037', 0, 'N', 0, '2012-09-27', NULL, NULL, 29.5287, -98.5918, NULL, NULL),
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('742873562', 'TX0000992', 'TX0000992', 'TX01', 'Texas Cancer Clinic', 'Sylvia', 'G', 'Zubyk', 'MD', 'Radiation Oncology', NULL, NULL, NULL, 'O', '9102 Floyd Curl Dr', 'San Antonio', 'Bexar', 'TX', '78240', '2102470920', NULL, '9102 Floyd Curl Dr', 'San Antonio', '', 'TX', '78240', '', '', 'TXONCOL', 'TXHCPCS', NULL, '0.00', '50.00', NULL, 3, '2007-01-01', '2007-12-01', 0, NULL, 0, 'North East Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1972500197', 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('742873562', 'TX0000993', 'TX0000993', 'TX01', 'Texas Cancer Clinic', 'Jim', 'Y', 'Hsiang', 'MD', 'Radiation Oncology', NULL, NULL, NULL, 'O', '9102 Floyd Curl Dr', 'San Antonio', 'Bexar', 'TX', '78240', '2102470920', NULL, '9102 Floyd Curl Dr', 'San Antonio', '', 'TX', '78240', '', '', 'TXONCOL', 'TXHCPCS', NULL, '0.00', '50.00', NULL, 3, '2007-01-01', '2007-12-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'N', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('742873562', 'TX0000994', 'TX0000994', 'TX01', 'Texas Cancer Clinic', '', '', 'Texas Cancer Clinic', '', 'Radiation Oncology', '', '', NULL, 'B', 'PO Box 1898', 'San Antonio', 'Bexar', 'TX', '78297', '2102470920', NULL, 'PO Box 1898', 'San Antonio', 'Bexar', 'TX', '78297', '2102470920', '          ', 'TXONCOL', 'TXHCPCS', '', '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-09-19', 0, 0, 0, '', '', '', '', 'HCFA|UB|', '0000009037', 0, 'Y', 0, '2012-09-27', NULL, NULL, 0, 0, NULL, NULL),
('742873562', 'TX0000995', 'TX0000995', 'TX01', 'Texas Cancer Clinic', 'Bradley', 'R', 'Prestidge', 'MD', 'Radiology', NULL, NULL, NULL, 'B', 'PO Box 1898', 'San Antonio', 'Bexar', 'TX', '78297', '2102470920', NULL, 'PO Box 1898', 'San Antonio', 'Bexar', 'TX', '78297', '2102470920', '          ', 'TXONCOL', 'TXHCPCS', '', '0.00', '50.00', '0.00', 3, '2007-01-01', '2012-08-01', 0, 0, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', '1134126220', 0, 'Y', 0, '2012-08-29', NULL, NULL, 0, 0, NULL, NULL),
('742873562', 'TX0000996', 'TX0000996', 'TX01', 'Texas Cancer Clinic', 'Sylvia', 'G', 'Zubyk', 'MD', 'Radiation Oncology', NULL, NULL, NULL, 'B', 'PO Box 1898', 'San Antonio', 'Bexar', 'TX', '78297', '2102470920', NULL, '9102 Floyd Curl Dr', 'San Antonio', '', 'TX', '78240', '', '', 'TXONCOL', 'TXHCPCS', NULL, '0.00', '50.00', NULL, 3, '2007-01-01', '2007-12-01', 0, NULL, 0, 'North East Baptist Hospital', NULL, NULL, NULL, 'HCFA|UB|', '1972500197', 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('742873562', 'TX0000997', 'TX0000997', 'TX01', 'Texas Cancer Clinic', 'Jim', 'Y', 'Hsiang', 'MD', 'Radiation Oncology', NULL, NULL, NULL, 'B', 'PO Box 1898', 'San Antonio', 'Bexar', 'TX', '78297', '2102470920', NULL, '9102 Floyd Curl Dr', 'San Antonio', '', 'TX', '78240', '', '', 'TXONCOL', 'TXHCPCS', NULL, '0.00', '50.00', NULL, 3, '2007-01-01', '2007-12-01', 0, NULL, 0, NULL, NULL, NULL, NULL, 'HCFA|UB|', NULL, 0, 'Y', 0, NULL, NULL, NULL, 0, 0, NULL, NULL),
('010724468', 'TX0000998', 'TX0000998', 'TX01', 'Lone Star Cancer', 'Devendra', 'Kumar', 'Bhachawat', 'MD', 'Hematology and Oncology', 'Oncology', '', NULL, 'O', '9102 Floyd Curl Dr', 'San Antonio', 'Bexar', 'TX', '78240', '2102470920', NULL, '9102 Floyd Curl Dr', 'San Antonio', 'Bexar', 'TX', '78240', '2102470920', '', 'TXONCOL', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2009-01-01', 0, 0, 0, 'Baptist Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1053338731', 0, 'N', 0, '2013-04-05', NULL, NULL, 29.5287, -98.5918, NULL, NULL),
('010724468', 'TX0000999', 'TX0000999', 'TX01', 'Lone Star Cancer', 'Devendra', 'Kumar', 'Bhachawat', 'MD', 'Hematology and Oncology', 'Oncology', '', NULL, 'B', 'PO Box 781905', 'San Antonio', 'Bexar', 'TX', '78278', '2102470920', NULL, 'PO Box 781905', 'San Antonio', 'Bexar', 'TX', '78278', '2102470920', '', 'TXONCOL', 'TXHCPCS', NULL, '0.00', '50.00', '0.00', 3, '2007-01-01', '2009-01-01', 0, 0, 0, 'Baptist Medical Center', NULL, NULL, NULL, 'HCFA|UB|', '1053338731', 0, 'Y', 0, '2013-04-05', NULL, NULL, 0, 0, NULL, NULL);
