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General NPI Number Information
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NPI Number | 1598352700
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Entity Type | Organization
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Legal Business Name | QC PROFESSIONAL PLLC
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Dates
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Enumeration Date | 12/22/2020
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 7629 S STAPLES ST STE 106A
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City | CORPUS CHRISTI
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State | TX
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Zip | 78413-5388
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Country | US
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Telephone | 361-238-0015
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Fax | 361-888-2838
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Provider Business Mailing Address
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Address Line | 7629 S STAPLES ST STE 106A
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City | CORPUS CHRISTI
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State | TX
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Zip | 78413-5388
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Country | US
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Telephone | 361-888-2820
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Fax | 361-888-2838
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Authorized Official
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Title or Position | MEDICAL DIRECTOR, PARTNER
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Name | MICHAEL S LOWRY
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Credential | MD
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Telephone | 856-498-9073
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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 |
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License Number State |
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