Provider Demographics
NPI:1154591725
Name:OAKRIDGE URGENT CARE, PLLC
Entity type:Organization
Organization Name:OAKRIDGE URGENT CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-599-5518
Mailing Address - Street 1:200 S. OAKRIDGE DRIVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:HUDSON OAKS
Mailing Address - State:TX
Mailing Address - Zip Code:76087
Mailing Address - Country:US
Mailing Address - Phone:817-599-5518
Mailing Address - Fax:817-599-5538
Practice Address - Street 1:200 S. OAKRIDGE DRIVE
Practice Address - Street 2:SUITE 106
Practice Address - City:HUDSON OAKS
Practice Address - State:TX
Practice Address - Zip Code:76087
Practice Address - Country:US
Practice Address - Phone:817-599-5518
Practice Address - Fax:817-599-5538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-10
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG3426261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care