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General NPI Number Information
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NPI Number | 1285544114
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Entity Type | Organization
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Legal Business Name | BOERNE EMERGENCY ROOM, LLC
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Dates
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Enumeration Date | 09/11/2026
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | 103 GALLANT FOX
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City | BOERNE
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State | TX
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Zip | 78006
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Country | US
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Telephone | 830-443-6400
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Fax | 830-443-6150
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Provider Business Mailing Address
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Address Line | 14493 S PADRE ISLAND DR STE ANO198
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City | CORPUS CHRISTI
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State | TX
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Zip | 78418-5931
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Country | US
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Telephone | 830-443-6400
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Fax | 830-443-6150
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Authorized Official
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Title or Position | PARTNER
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Name | MIKE LOWRY
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Credential | MD
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Telephone | 856-498-9073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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