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General NPI Number Information
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NPI Number | 1659959310
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Entity Type | Organization
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Legal Business Name | ACCESS TOTAL CARE-CIBOLO SCHERTZ LLC
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Dates
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Enumeration Date | 04/01/2021
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Last Update Date | 04/01/2021
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Provider Practice Location Address
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Address Line | 1264 FM 78 STE 115
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City | SCHERTZ
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State | TX
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Zip | 78154-2469
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Country | US
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Telephone | 210-352-5966
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Fax | 210-322-5198
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Provider Business Mailing Address
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Address Line | PO BOX 61160
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City | CORPUS CHRISTI
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State | TX
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Zip | 78466-1160
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Country | US
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Telephone | 361-884-2904
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Fax | 361-857-0572
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | STEPHEN A CARTER
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Credential | MD
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Telephone | 210-352-5966
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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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