| Organization Name: | SOUTH TEXAS MEDICAL CLINICS, P.A. |
| NPI Number: | 1194874743 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID CLARK (EXECUTIVE DIRECTOR) |
| Mailing Address: | 2520 B F Terry Blvd Rosenberg |
| State: | TX US |
| Postal Code: | 774715636 |
| Phone Number: | 2813426006 |
| Fax Number: | 2812397554 |
| NPI Enumeration Date: | 01/10/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |