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NPI 1609686500

NPI 1609686500 : TOTAL POINT ER CORPUS CHRISTI LLC : CORPUS CHRISTI, TX

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General NPI Number Information
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    NPI Number           |    1609686500
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    Entity Type          |    Organization 
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    Legal Business Name  |    TOTAL POINT ER CORPUS CHRISTI LLC 
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Dates
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    Enumeration Date     |    01/13/2025
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    Last Update Date     |    01/13/2025
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Provider Practice Location Address
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    Address Line         |    6813 EVERHART RD 
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    City                 |    CORPUS CHRISTI
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    State                |    TX
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    Zip                  |    78413-2453
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    Country              |    US
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    Telephone            |    463-607-8448
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1601 ELM ST STE 4210 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75201-7282
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    Country              |    US
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    Telephone            |    463-607-8448
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    Fax                  |    
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Authorized Official
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    Title or Position    |    VP COMPLIANCE & HR
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    Name                 |     ROBERT  BRACE 
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    Credential           |    
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    Telephone            |    469-607-8448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207PE0004X
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    Taxonomy Name        |    Emergency Medical Services (Emergency Medicine) Physician
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    License Number       |    
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    License Number State |    
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