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General NPI Number Information
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NPI Number | 1588469977
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Entity Type | Organization
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Legal Business Name | DIVINAS MANOS URGENT CARE LLC
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 110 WILLOW OAK STE 2
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City | LAREDO
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State | TX
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Zip | 78043-5085
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Country | US
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Telephone | 956-728-8322
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Fax | 956-728-8353
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Provider Business Mailing Address
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Address Line | 110 WILLOW OAK STE 2
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City | LAREDO
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State | TX
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Zip | 78043-5085
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Country | US
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Telephone | 956-740-7805
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ARMANDO VILLARREAL JR.
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Credential |
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Telephone | 956-728-8322
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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 |
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