Provider Demographics
NPI:1104967793
Name:URGENT CARE DOCS OF TEXAS, PA
Entity type:Organization
Organization Name:URGENT CARE DOCS OF TEXAS, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GIBBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-288-3627
Mailing Address - Street 1:1927 LOHMANS CROSSING RD STE 200
Mailing Address - Street 2:
Mailing Address - City:LAKEWAY
Mailing Address - State:TX
Mailing Address - Zip Code:78734-5243
Mailing Address - Country:US
Mailing Address - Phone:512-233-1260
Mailing Address - Fax:512-233-1261
Practice Address - Street 1:1927 LOHMANS CROSSING RD STE 200
Practice Address - Street 2:
Practice Address - City:LAKEWAY
Practice Address - State:TX
Practice Address - Zip Code:78734-5243
Practice Address - Country:US
Practice Address - Phone:512-233-1260
Practice Address - Fax:512-233-1261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH4646261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care