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NPI 1750640629

NPI 1750640629 : MEDSPRING OF TEXAS, PA : ROUND ROCK, TX

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General NPI Number Information
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    NPI Number           |    1750640629
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    Entity Type          |    Organization 
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    Legal Business Name  |    MEDSPRING OF TEXAS, PA 
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Dates
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    Enumeration Date     |    05/11/2012
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    Last Update Date     |    05/11/2012
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Provider Practice Location Address
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    Address Line         |    1820 GATTIS SCHOOL ROAD 
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    City                 |    ROUND ROCK
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    State                |    TX
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    Zip                  |    78664
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    Country              |    US
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    Telephone            |    512-861-8050
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    Fax                  |    512-485-7393
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Provider Business Mailing Address
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    Address Line         |    PO BOX 160247 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78716-0247
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    Country              |    US
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    Telephone            |    888-980-0505
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    Fax                  |    512-485-7393
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. JON LESLIE BELSHER 
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    Credential           |    M.D.
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    Telephone            |    512-402-6235
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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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