| Organization Name: | COWBOY URGENT CARE, INC |
| NPI Number: | 1114201845 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHEL SKAF (PRESIDENT AND CEO) |
| Mailing Address: | 1453-a Dewar Drive Rock Springs |
| State: | WY US |
| Postal Code: | 82901 |
| Phone Number: | 3073822466 |
| Fax Number: | 3073822068 |
| NPI Enumeration Date: | 09/29/2011 |
| NPI Last Update Date: | 06/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |