| Organization Name: | ANGLETON URGENT CARE LLC |
| NPI Number: | 1316976251 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LARRY KEITH PARKER (PHYSICIAN/OWNER) |
| Mailing Address: | 2315 E Mulberry St Angleton |
| State: | TX US |
| Postal Code: | 775153804 |
| Phone Number: | 9798491747 |
| Fax Number: | 9798488563 |
| NPI Enumeration Date: | 07/02/2006 |
| NPI Last Update Date: | 08/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |