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General NPI Number Information
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NPI Number | 1669418547
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Entity Type | Organization
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Legal Business Name | UMC PHYSICIANS
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 5219 CITY BANK PKWY STE 135
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City | LUBBOCK
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State | TX
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Zip | 79407-3595
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Country | US
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Telephone | 806-761-0333
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Fax | 806-785-7685
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Provider Business Mailing Address
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Address Line | 5219 CITY BANK PKWY SUITE 160
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City | LUBBOCK
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State | TX
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Zip | 79407-3544
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Country | US
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Telephone | 806-761-0333
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Fax | 806-785-7685
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Authorized Official
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Title or Position | MANAGING DIRECTOR, BUSINESS SERVICE
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Name | MARCO GUARDIOLA
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Credential |
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Telephone | 806-761-0333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology 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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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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 #6
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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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