Provider Demographics
NPI:1699140343
Name:EXPRESSMD URGENT CARE PLLC
Entity type:Organization
Organization Name:EXPRESSMD URGENT CARE PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OSEI
Authorized Official - Middle Name:
Authorized Official - Last Name:ASAMOAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-252-9094
Mailing Address - Street 1:3420 FM 967
Mailing Address - Street 2:SUITE B100
Mailing Address - City:BUDA
Mailing Address - State:TX
Mailing Address - Zip Code:78610-3110
Mailing Address - Country:US
Mailing Address - Phone:512-523-8997
Mailing Address - Fax:512-523-8914
Practice Address - Street 1:9901 BRODIE LN
Practice Address - Street 2:SUITE 160, BOX 316
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-5803
Practice Address - Country:US
Practice Address - Phone:512-523-8997
Practice Address - Fax:512-523-8914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-07
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care