| Organization Name: | ROCKWALL URGENT CARE, LLC |
| NPI Number: | 1124359732 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SCOTT M PIERCE (PRESIDENT) |
| Mailing Address: | 810 Ralph Hall Parkway Suite 100 Rockwall |
| State: | TX US |
| Postal Code: | 75032 |
| Phone Number: | 9034551447 |
| Fax Number: | |
| NPI Enumeration Date: | 01/21/2010 |
| NPI Last Update Date: | 01/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | K1899 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |