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General NPI Number Information
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NPI Number | 1922739952
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Entity Type | Organization
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Legal Business Name | TELE-HEALTH URGENT CARE PLLC
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Dates
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Enumeration Date | 06/21/2022
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Last Update Date | 06/21/2022
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Provider Practice Location Address
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Address Line | 1900 N EXPRESSWAY # 77B2
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City | BROWNSVILLE
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State | TX
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Zip | 78521-1556
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Country | US
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Telephone | 956-495-8658
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 N EXPRESSWAY # 77B2
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City | BROWNSVILLE
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State | TX
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Zip | 78521-1556
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Country | US
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Telephone | 956-495-8658
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. CARLOS VILLARREAL
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Credential |
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Telephone | 956-466-7221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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