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NPI Code Detail

MEDICARE: MEDSPRING OF TEXAS, PA

MEDICARE: MEDSPRING OF TEXAS, PA
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
1261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1861730590
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDSPRING OF TEXAS, PA
Provider Business Mailing Address
First Line : PO BOX 160247
Second Line :
City : AUSTIN
State : TX
Zip : 78716-0247
Country : US
Telephone Number : 888-980-0505
Fax Number : 512-485-7393
Provider Business Practice Location Address
First Line : 2868 N BROADWAY ST
Second Line :
City : CHICAGO
State : IL
Zip : 60657-6447
Country : US
Telephone Number : 888-980-0505
Fax Number : 512-485-7393
Authorized Official
Title or Position : PRESIDENT
Name : DR. JON LESLIE BELSHER
Credential : MD
Telephone Number : 512-402-6238
Provider Enumeration Date : 01/31/2013
Last Update Date : 01/31/2013

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