| Organization Name: | AIC URGENT CARE. PLLC |
| NPI Number: | 1962788125 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MEGAN JEFFERSON (CREDENTIALING CONTACT) |
| Mailing Address: | 2600 Fm 1764 Suite 190 La Marque |
| State: | TX US |
| Postal Code: | 77568 |
| Phone Number: | 2818868964 |
| Fax Number: | 4094408071 |
| NPI Enumeration Date: | 11/01/2011 |
| NPI Last Update Date: | 04/14/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | L9314 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |