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General NPI Number Information
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NPI Number | 1386689446
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Entity Type | Organization
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Legal Business Name | TEXAS MIDWEST EXPRESS CARE, P.A.
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4009 RIDGEMONT DR
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City | ABILENE
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State | TX
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Zip | 79606-2733
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Country | US
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Telephone | 325-690-1500
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Fax | 325-690-1578
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Provider Business Mailing Address
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Address Line | PO BOX 6728
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City | ABILENE
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State | TX
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Zip | 79608-6728
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Country | US
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Telephone | 325-690-1500
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Fax | 325-690-1578
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. LISA GAYLE LEWIS
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Credential |
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Telephone | 325-690-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State | TX
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