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General NPI Number Information
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NPI Number | 1497151237
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Entity Type | Organization
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Legal Business Name | FAST TRACK URGENT CARE
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Dates
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Enumeration Date | 11/05/2014
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 17910 BULVERDE RD STE 115
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City | SAN ANTONIO
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State | TX
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Zip | 78259-3762
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Country | US
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Telephone | 210-906-8478
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 33173
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City | SAN ANTONIO
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State | TX
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Zip | 78265-3173
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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 | CREDENTIALING SPECIALIST
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Name | KELLY LANE DENNIS
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Credential |
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Telephone | 210-890-8840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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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 |
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