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General NPI Number Information
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NPI Number | 1912517426
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Entity Type | Organization
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Legal Business Name | MED CURE CLINIC LLC
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Dates
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Enumeration Date | 08/10/2020
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 6237 HIGHWAY 6 S STE C
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City | HOUSTON
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State | TX
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Zip | 77083-1681
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Country | US
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Telephone | 832-400-2048
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Fax | 832-400-2049
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Provider Business Mailing Address
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Address Line | 6237 HIGHWAY 6 S STE C
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City | HOUSTON
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State | TX
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Zip | 77083-1681
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Country | US
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Telephone | 832-400-2048
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Fax | 832-400-2049
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Authorized Official
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Title or Position | DIRECTOR
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Name | DEBORAH YISA
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Credential | FNP-BC
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Telephone | 346-220-3534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0005X
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Taxonomy Name | Ambulatory Family Planning Facility
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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 | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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