Organization Name: | FAMILY URGENT CARE, LLC |
NPI Number: | 1306993803 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT G GRAW (MANAGING PARTNER) |
Mailing Address: | 2225d Defense Hwy Crofton |
State: | MD US |
Postal Code: | 211142403 |
Phone Number: | 4107217733 |
Fax Number: | |
NPI Enumeration Date: | 01/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |