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NPI 1154256469

NPI 1154256469 : WILCAP HEALTH SERVICES PLLC : PORTLAND, TX

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General NPI Number Information
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    NPI Number           |    1154256469
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    Entity Type          |    Organization 
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    Legal Business Name  |    WILCAP HEALTH SERVICES PLLC 
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Dates
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    Enumeration Date     |    06/17/2026
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    Last Update Date     |    06/21/2026
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Provider Practice Location Address
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    Address Line         |    125 NORTHSHORE BLVD 
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    City                 |    PORTLAND
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    State                |    TX
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    Zip                  |    78374-4206
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    Country              |    US
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    Telephone            |    361-208-6701
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    Fax                  |    361-292-1096
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Provider Business Mailing Address
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    Address Line         |    2109 OSO BAY RANCH RD 
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    City                 |    CORPUS CHRISTI
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    State                |    TX
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    Zip                  |    78418-8920
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    Country              |    US
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    Telephone            |    361-208-6701
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    Fax                  |    361-292-1096
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JUAN MIGUEL CAPUPUS 
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    Credential           |    NP
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    Telephone            |    361-208-6701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    
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    License Number State |    
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