NPI profile
SOUTHSIDE MEDICAL CLINIC INC
NPI record status, taxonomy, official source timestamp, and OIG LEIE screening context.
Identity
- NPI
- 1497823314
- Entity type
- NPI-2
- Primary taxonomy
- 261QR1300X
- NPI source updated
- Jul 21, 2022
- Enumeration date
- Nov 30, 2006
- Cache fetched
- May 05, 2026
NPI does not validate licensure, credentialing, Medicare enrollment, or current practice authority.
OIG LEIE screening
excludedConfidence: high
Exact OIG exclusion match by NPI.
NPI addresses
| Purpose | Address | Phone |
|---|---|---|
| MAILING | 6182422745 | |
| LOCATION | 6182422745 |
FAQ
Practical notes
Does an NPI record validate licensure?
No. NPI data does not validate licensure, credentialing, Medicare enrollment, or current practice authority.