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Organization
QUALITY ACUTE CARE, PA
Active
Organization
QUALITY ACUTE CARE, PA
Active
Other names
Main Street Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA THURMOND DEDMON (ADMINISTRATIVE MANAGER)
(830) 249-9995
Entity
Organization
Contact information
Practice address
1421 S MAIN ST, SUITE #111, BOERNE, TX 78006-3321
(830) 249-9995
(830) 249-9868
Mailing address
1421 S MAIN ST, SUITE #111, BOERNE, TX 78006-3321
(830) 249-9995
(830) 249-9868
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
K8182
TX
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
PA02389
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
342847601
—
TX
Enumeration date
11/02/2013
Last updated
09/08/2016
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