Healthcare Provider Details
I. General information
NPI: 1346545209
Provider Name (Legal Business Name): TEXAN URGENT CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/24/2011
Last Update Date: 07/02/2021
Certification Date: 07/02/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9060 E VIA LINDA STE 250
SCOTTSDALE AZ
85258-5425
US
IV. Provider business mailing address
9060 E VIA LINDA STE 250
SCOTTSDALE AZ
85258-5425
US
V. Phone/Fax
- Phone: 480-545-2787
- Fax: 919-882-9575
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GEORGIA
MARIE
SANCHEZ
Title or Position: MANAGER
Credential:
Phone: 480-500-2286