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NPI 1851606750

NPI 1851606750 : ROCKPORT URGENT CARE CENTER : ROCKPORT, TX

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General NPI Number Information
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    NPI Number           |    1851606750
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROCKPORT URGENT CARE CENTER 
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Dates
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    Enumeration Date     |    08/16/2010
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    Last Update Date     |    02/25/2011
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Provider Practice Location Address
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    Address Line         |    2621 HWY 35 N 
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    City                 |    ROCKPORT
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    State                |    TX
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    Zip                  |    78382-5708
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    Country              |    US
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    Telephone            |    361-729-3939
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    Fax                  |    361-729-1782
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Provider Business Mailing Address
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    Address Line         |    2621 HWY 35N 
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    City                 |    ROCKPORT
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    State                |    TX
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    Zip                  |    78382
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    Country              |    US
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    Telephone            |    361-729-3939
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    Fax                  |    361-729-1782
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Authorized Official
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    Title or Position    |    PHYSICIAN
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    Name                 |    DR. JOHN L MCNEILL 
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    Credential           |    D.O.
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    Telephone            |    361-578-5730
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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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