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Copper Ridge Medical Pa
Clinic/Center in Georgetown, Texas
NPI 1750557641

Copper Ridge Medical Pa is a Clinic/Center based in Georgetown, TX. Copper Ridge Medical Pa practices in Georgetown, TX. The NPI Number for Copper Ridge Medical Pa is 1750557641 and holds a License No. G1494 (Texas).

The current practice location address for Copper Ridge Medical Pa is 7600 Highway 29 W, Georgetown, TX and can be reached out via phone at 512-930-0363 and via fax at 512-930-0371.

Location: 7600 Highway 29 W, Georgetown, TX, 78628-6937
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750557641
Provider Name
Copper Ridge Medical Pa
Credential
Provider Entity Type
Organization
Address
7600 Highway 29 W, Georgetown, TX, 78628-6937
Phone Number
512-930-0363
Fax Number
512-930-0371
Provider Enumeration Date
05/01/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G1494 01 TX PHYSICIAN STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
7600 Highway 29 W
City
Georgetown
State
Texas
Zip
78628-6937
Phone Number
512-930-0363
Fax Number
512-930-0371
person
Provider Business Mailing Address Details
Address
7600 Highway 29 W
City
Georgetown
State
Texas
Zip
78628-6937
Phone Number
512-930-0363
Fax Number
512-930-0371
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
G1494 (Texas)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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