Organization Name: | TEXOMA URGENT CARE ASSOCIATES, PLLC |
NPI Number: | 1750595302 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDRA K HISE (OFFICE MANAGER) |
Mailing Address: | 111 E Highway Ste 104 Pottsboro |
State: | TX US |
Postal Code: | 750767801 |
Phone Number: | 9037863911 |
Fax Number: | 9037868630 |
NPI Enumeration Date: | 05/10/2007 |
NPI Last Update Date: | 06/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | M6232 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |