# SOUTH TEXAS MEDICAL CLINICS, P.A. DMERC

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

## Provider details

- **NPI number:** 1659401172
- **Authorized official:** MR. MICHAEL S. RICHARD EXECUTIVE DIRECTOR (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (979) 532-6701

## Contact information

- **Practice address:** 2100 REGIONAL MEDICAL DR, WHARTON, TX 77488-9719
- **Practice address phone:** (979) 532-1700
- **Mailing address:** 2100 REGIONAL MEDICAL DR, WHARTON, TX 77488-9719
- **Mailing address phone:** (979) 532-1700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | H2422 | TX | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 06/14/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 138702907 | — | TX |