South Texas Lice Clinics LLC

Primary specialty

Other TechnicianTaxonomy code 247200000X

Legal business name

SOUTH TEXAS LICE CLINICS LLC

Practice address

6391 De Zavala Rd Ste 222
San Antonio, TX 78249-2159

Phone

(210) 409-4635

NPI assigned

Feb 13, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tracy Copeland

Title

Owner

Phone

(210) 409-4635

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518480000000",
    "number": "1346740743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6391 DE ZAVALA RD STE 222",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492159",
            "telephone_number": "210-409-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6391 DE ZAVALA RD STE 222",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492159",
            "telephone_number": "210-409-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS LICE CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-409-4635"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• South Texas Medical Supply Dba (HME Specialists)
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• South Texas MRI LTD
• South Texas Nephrology, P.a
• South Texas Neurobehavioral Group LLC

• Other Technician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Other Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.