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General NPI Number Information
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NPI Number | 1184574014
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Entity Type | Organization
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Legal Business Name | WESTOVER PRIMARY CARE CLINIC PLLC
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 9022 CULEBRA RD STE 109
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City | SAN ANTONIO
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State | TX
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Zip | 78251-2886
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Country | US
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Telephone | 210-802-3777
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Fax | 210-819-4555
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Provider Business Mailing Address
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Address Line | 9022 CULEBRA RD STE 109
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City | SAN ANTONIO
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State | TX
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Zip | 78251-2886
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | STELLA KORETSKY
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Credential | M.D.
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Telephone | 210-802-3777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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