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NPI Code Detail

MEDICARE: ST. DAVID'S HEALTHCARE PARTNERSHIP, L.P, LLP

MEDICARE: ST. DAVID'S HEALTHCARE PARTNERSHIP, L.P, LLP
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
1261QE0002XEmergency Care Clinic/Center

General Provider Information

NPI Number : 1699614107
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST. DAVID'S HEALTHCARE PARTNERSHIP, L.P, LLP
Provider Business Mailing Address
First Line : 3201 HIGHWAY 71 E
Second Line :
City : BASTROP
State : TX
Zip : 78602-5126
Country : US
Telephone Number : 512-816-2300
Fax Number :
Provider Business Practice Location Address
First Line : 3201 HIGHWAY 71 E
Second Line :
City : BASTROP
State : TX
Zip : 78602-5126
Country : US
Telephone Number : 512-816-2300
Fax Number :
Authorized Official
Title or Position : CFO
Name : SETH HERRICK
Credential :
Telephone Number : 512-816-6111
Provider Enumeration Date : 03/27/2026
Last Update Date : 03/27/2026

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