ALLEGIANCE MEDICAL CLINIC OF DEQUINCY LLC

Family Medicine

Code: 207Q00000X

Internal Medicine

Code: 207R00000X

Pediatrics

Code: 208000000X

Podiatrist

Code: 213E00000X

Clinic/Center — Multi-Specialty

Code: 261QM1300X

Clinic/Center — Rural Health

Code: 261QR1300X

Nurse Practitioner — Pediatrics

Code: 363LP0200X