MEDICARE: DR. JOSE A URQUIDEZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	L9942	TX
2	208100000X	Physical Medicine & Rehabilitation Physician	L9942	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8BK240	OTHER	TX	BCBS OF TEXAS

General Provider Information

NPI Number	:	1053357871
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSE A URQUIDEZ M.D.

Provider Business Mailing Address
First Line	:	11851 JOLLYVILLE RD STE 103
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-2350
Country	:	US
Telephone Number	:	512-541-2591
Fax Number	:

Provider Business Practice Location Address
First Line	:	11851 JOLLYVILLE RD STE 103
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-2350
Country	:	US
Telephone Number	:	512-541-2591
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	06/17/2009

Similar Medicare Providers

1659765907 — DR. JACK M JUPRASERT MD MS FACS
Practice Location Address:

11851 JOLLYVILLE RD STE 104
AUSTIN, TX
78759-2350

Practice Phone: 512-257-2425
Practice Fax: 512-257-2426

1821060807 — DR. SASHIDHAR V. GANTA M.D.
Practice Location Address:

11851 JOLLYVILLE RD STE 4
AUSTIN, TX
78759-2350

Practice Phone: 512-952-0341
Practice Fax:

1477521524 — SASHIDHAR V. GANTA MD PA
Practice Location Address:

11851 JOLLYVILLE RD STE 104
AUSTIN, TX
78759-2350

Practice Phone: 512-257-2425
Practice Fax: 512-257-2426

1043323603 — DR. STEVEN LESLIE BOOTH DDS
Practice Location Address:

11851 JOLLYVILLE RD STE 201
AUSTIN, TX
78759-2350

Practice Phone: 512-345-8800
Practice Fax: 512-331-8500

1003929514 — STEVEN L. BOOTH, DDS, PA
Practice Location Address:

11851 JOLLYVILLE RD STE 201
AUSTIN, TX
78759-2350

Practice Phone: 512-345-8800
Practice Fax: 512-331-8500

1467611566 — DR. ANDRE YUAN LEVESQUE M.D.
Practice Location Address:

11851 JOLLYVILLE RD STE 203
AUSTIN, TX
78759-2350

Practice Phone: 512-487-5975
Practice Fax: 737-931-1976

Directions to “ DR. JOSE A URQUIDEZ M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.