Provider Demographics
NPI:1215237805
Name:SOUTH TEXAS URGENT CARE CENTER CORP
Entity type:Organization
Organization Name:SOUTH TEXAS URGENT CARE CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:SAUNDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MONROE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-964-5846
Mailing Address - Street 1:3040 EAST MAIN STREET
Mailing Address - Street 2:SUITE Z
Mailing Address - City:UVALDE
Mailing Address - State:TX
Mailing Address - Zip Code:78801-6403
Mailing Address - Country:US
Mailing Address - Phone:830-278-1166
Mailing Address - Fax:830-278-1223
Practice Address - Street 1:3040 E MAIN ST
Practice Address - Street 2:SUITE Z
Practice Address - City:UVALDE
Practice Address - State:TX
Practice Address - Zip Code:78801-6424
Practice Address - Country:US
Practice Address - Phone:830-278-1166
Practice Address - Fax:830-278-1223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty