MEDICARE: URGENT HEALTH SOLUTIONS LUFKIN

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1518589167
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	URGENT HEALTH SOLUTIONS LUFKIN

Provider Business Mailing Address
First Line	:	PO BOX 153120
Second Line	:
City	:	LUFKIN
State	:	TX
Zip	:	75915-3120
Country	:	US
Telephone Number	:	936-633-2396
Fax Number	:

Provider Business Practice Location Address
First Line	:	2132 SOUTH 1ST STREET
Second Line	:
City	:	LUFKIN
State	:	TX
Zip	:	75901-7124
Country	:	US
Telephone Number	:	936-634-3627
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MICHAEL IVERSEN
Credential	:	MD
Telephone Number	:	936-465-8860

Provider Enumeration Date	:	05/16/2020
Last Update Date	:	02/17/2023

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