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General NPI Number Information
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NPI Number | 1275350290
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Entity Type | Organization
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Legal Business Name | TEXAS CARE CLINIC P A
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Dates
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Enumeration Date | 09/21/2024
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 10108 ECHORIDGE DR
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City | AUSTIN
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State | TX
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Zip | 78750-4001
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Country | US
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Telephone | 512-902-8684
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Fax |
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Provider Business Mailing Address
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Address Line | 10108 ECHORIDGE DR
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City | AUSTIN
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State | TX
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Zip | 78750-4001
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Country | US
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Telephone | 512-757-2904
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Fax |
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Authorized Official
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Title or Position | OFFICE MANGER
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Name | KARAN RANE
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Credential |
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Telephone | 512-902-8684
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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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