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Organization
SOUTH TEXAS MEDICAL CLINICS, P.A. DMERC
Active
Organization
SOUTH TEXAS MEDICAL CLINICS, P.A. DMERC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL S. RICHARD EXECUTIVE DIRECTOR (EXECUTIVE DIRECTOR)
(979) 532-6701
Entity
Organization
Contact information
Practice address
2100 REGIONAL MEDICAL DR, WHARTON, TX 77488-9719
(979) 532-1700
Mailing address
2100 REGIONAL MEDICAL DR, WHARTON, TX 77488-9719
(979) 532-1700
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
H2422
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138702907
—
TX
Enumeration date
03/06/2007
Last updated
06/14/2011
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