Provider Demographics
NPI:1427429869
Name:OUCH (ORTHOPEDIC URGENT CARE HOME, PLLC)
Entity type:Organization
Organization Name:OUCH (ORTHOPEDIC URGENT CARE HOME, PLLC)
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:800-682-4220
Mailing Address - Street 1:431 E STATE HWY 114
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-4416
Mailing Address - Country:US
Mailing Address - Phone:800-682-4220
Mailing Address - Fax:817-812-2868
Practice Address - Street 1:431 E STATE HWY 114
Practice Address - Street 2:SUITE 120
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-4416
Practice Address - Country:US
Practice Address - Phone:800-682-4220
Practice Address - Fax:817-812-2868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-12
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207XP3100X
TX801943080261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic SurgeryGroup - Multi-Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Multi-Specialty