# SOUTH TEXAS MEDICAL CLINICS, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194874743
- **Authorized official:** MR. DAVID CLARK EXECUTIVE DIRECTOR (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (979) 532-1700

## Contact information

- **Practice address:** 2520 B F TERRY BLVD, ROSENBERG, TX 77471-5636
- **Practice address phone:** (281) 342-6006
- **Practice address fax:** (281) 239-7554
- **Mailing address:** 2520 B F TERRY BLVD, ROSENBERG, TX 77471-5636
- **Mailing address phone:** (281) 342-6006
- **Mailing address fax:** (281) 239-7554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 08/22/2020