Provider Demographics
NPI:1316733603
Name:FASTDOC URGENT CARES OF MISSOURI
Entity type:Organization
Organization Name:FASTDOC URGENT CARES OF MISSOURI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JURRY
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN ARK
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:760-382-0827
Mailing Address - Street 1:325 CENTRAL EXPY S
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-2786
Mailing Address - Country:US
Mailing Address - Phone:760-382-0827
Mailing Address - Fax:214-785-7606
Practice Address - Street 1:1350 SPUR DR STE 230
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:MO
Practice Address - Zip Code:65706-2196
Practice Address - Country:US
Practice Address - Phone:760-382-0827
Practice Address - Fax:214-785-7606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care