South Texas Medical Clinics, P.a. Epsdt

NPI #1154463594 in Wharton, Texas

Provider Information

NPI Number: 1154463594
Entity Type: Organization
Organization Name: South Texas Medical Clinics, P.a. Epsdt
Primary Specialty: General Practice
Enumeration Date: Feb 13, 2007
Last Updated: Jun 14, 2011

Practice Location

Address: 2100 REGIONAL MEDICAL DR
City: Wharton
State: Texas
ZIP Code: 77488-9719
Phone: (979) 532-1700

Authorized Official

Name: MR. MICHAEL S. RICHARD, EXECUTIVE DIRECTOR
Title: EXECUTIVE DIRECTOR
Phone: (979) 532-6701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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Provider Name	Specialty	City
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