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General NPI Number Information
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NPI Number | 1376033951
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Entity Type | Organization
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Legal Business Name | ESSENTIAL MED CLINIC
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Dates
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Enumeration Date | 05/18/2018
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 2810 N LOOP 1604 W
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City | SAN ANTONIO
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State | TX
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Zip | 78248-2222
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Country | US
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Telephone | 305-794-0119
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Fax |
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Provider Business Mailing Address
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Address Line | 2810 N LOOP 1604 W STE 102
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City | SAN ANTONIO
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State | TX
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Zip | 78248-2230
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Country | US
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Telephone | 210-568-7555
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Fax | 210-200-5136
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Authorized Official
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Title or Position | PHYSICIAN/MEDICAL DIRECTOR
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Name | DR. FREDA COBBINAH
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Credential | DO
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Telephone | 210-568-7555
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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 | P6800
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License Number State | TX
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