Organization Name: | FREEDOM URGENT CARE, PLLC |
NPI Number: | 1104153998 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANNMARIE MCKENNA (CEO) |
Mailing Address: | 300 W Central Texas Expy Suite #115 Harker Heights |
State: | TX US |
Postal Code: | 765481885 |
Phone Number: | 2548338456 |
Fax Number: | 2548339162 |
NPI Enumeration Date: | 11/16/2009 |
NPI Last Update Date: | 10/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | K0462 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |