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SOUTH TEXAS MEDICAL CLINICS P.A. EPSDT NPI 1154463594


NPI Information

NPI: 1154463594
Provider Name: SOUTH TEXAS MEDICAL CLINICS, P.A. EPSDT
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
2100 REGIONAL MEDICAL DR
WHARTON, TX
ZIP 77488
Phone: (979) 532-1700
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SOUTH TEXAS MEDICAL CLINICS, P.A. EPSDT is a general practice in Wharton, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SOUTH TEXAS MEDICAL CLINICS, P.A. EPSDT NPI is 1154463594. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2100 REGIONAL MEDICAL DR
WHARTON, TX
ZIP 77488-719
Phone: (979) 532-1700

The provider's authorized official is Michael S. Richard .
The authorized official title is Executive Director and has the following contact phone number (979) 532-6701.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 6/14/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeH2422TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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