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General NPI Number Information
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NPI Number | 1326934936
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Entity Type | Organization
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Legal Business Name | UBI COMPREHENSIVE COMMUNITY CLINICS
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 3630 SE MILITARY DR
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City | SAN ANTONIO
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State | TX
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Zip | 78223-4050
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Country | US
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Telephone | 210-789-3039
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Fax |
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Provider Business Mailing Address
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Address Line | 3630 SE MILITARY DR
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City | SAN ANTONIO
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State | TX
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Zip | 78223-4050
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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 | OWNER
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Name | JAGAN REDDY BAIRU
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Credential |
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Telephone | 210-788-3039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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