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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