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General NPI Number Information
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NPI Number | 1871526442
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Entity Type | Organization
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Legal Business Name | SOUTH TEXAS URGENT CARE CENTER
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 05/09/2019
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Provider Practice Location Address
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Address Line | 3040 E MAIN ST STE Z
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City | UVALDE
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State | TX
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Zip | 78801-6403
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Country | US
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Telephone | 830-278-1166
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Fax | 830-278-1223
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Provider Business Mailing Address
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Address Line | 3040 E MAIN ST STE Z
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City | UVALDE
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State | TX
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Zip | 78801-6403
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Country | US
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Telephone | 830-278-1166
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Fax | 830-278-1223
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | LEWIS S CHRISTIAN
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Credential | MD
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Telephone | 830-278-1166
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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 | E4254
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E4254
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License Number State | TX
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