Healthcare Provider Details

I. General information

NPI: 1245601038
Provider Name (Legal Business Name): PCP URGENT CARE HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2015
Last Update Date: 04/26/2023
Certification Date: 04/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2840 FLORIDA ST
BATON ROUGE LA
70802-2721
US

IV. Provider business mailing address

7515 JEFFERSON HWY #246
BATON ROUGE LA
70806-8308
US

V. Phone/Fax

Practice location:
  • Phone: 225-224-2402
  • Fax: 225-367-4938
Mailing address:
  • Phone: 225-224-8690
  • Fax: 225-615-7704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DEEPESH RUBIN PATEL
Title or Position: C.E.O.
Credential: M.D.
Phone: 225-252-1102