MEDICARE: BARLITE URGENT CARE PLLC

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	261QU0200X	Urgent Care Clinic/Center		TX

General Provider Information

NPI Number	:	1205270097
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARLITE URGENT CARE PLLC

Provider Business Mailing Address
First Line	:	22250 BULVERDE RD
Second Line	:	SUITE 120
City	:	SAN ANTONIO
State	:	TX
Zip	:	78261-3084
Country	:	US
Telephone Number	:	210-373-8570
Fax Number	:

Provider Business Practice Location Address
First Line	:	22250 BULVERDE RD
Second Line	:	SUITE 120
City	:	SAN ANTONIO
State	:	TX
Zip	:	78261-3084
Country	:	US
Telephone Number	:	210-373-8570
Fax Number	:

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	JOEL KAY
Credential	:	FNP
Telephone Number	:	210-373-8570

Provider Enumeration Date	:	04/23/2013
Last Update Date	:	04/23/2013

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