Healthcare Provider Details

I. General information

NPI: 1104288976
Provider Name (Legal Business Name): SABINE URGENT CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2016
Last Update Date: 01/26/2021
Certification Date: 01/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 S HIGHLAND DR SUITE B
MANY LA
71449-3719
US

IV. Provider business mailing address

PO BOX 130
NEW LLANO LA
71461-0130
US

V. Phone/Fax

Practice location:
  • Phone: 318-590-9390
  • Fax: 318-590-9392
Mailing address:
  • Phone: 337-239-2207
  • Fax: 337-239-2583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROBERT CROWE
Title or Position: OWNER
Credential: MD
Phone: 337-239-2207