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General NPI Number Information
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NPI Number | 1104153998
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Entity Type | Organization
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Legal Business Name | FREEDOM URGENT CARE PLLC
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Dates
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Enumeration Date | 11/16/2009
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 300 W CENTRAL TEXAS EXPY STE 115
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City | HARKER HEIGHTS
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State | TX
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Zip | 76548-1888
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Country | US
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Telephone | 254-833-8456
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Fax | 254-833-9162
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Provider Business Mailing Address
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Address Line | 340 SEVEN SPRINGS WAY STE 100
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City | BRENTWOOD
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State | TN
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Zip | 37027-5697
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Country | US
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Telephone | 615-296-3594
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Fax |
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Authorized Official
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Title or Position | EVP GENERAL COUNSEL
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Name | STEPHEN C. PETROVICH
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Credential |
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Telephone | 615-296-3594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | K0462
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License Number State | TX
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