Healthcare Provider Details
I. General information
NPI: 1497518237
Provider Name (Legal Business Name): YOUR MED SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/05/2024
Last Update Date: 05/03/2024
Certification Date: 05/03/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3250 SHEPHERD OF THE HILLS EXPY
BRANSON MO
65616-8104
US
IV. Provider business mailing address
3250 SHEPHERD OF THE HILLS EXPY
BRANSON MO
65616-8104
US
V. Phone/Fax
- Phone: 417-544-1589
- Fax:
- Phone: 417-544-1589
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
TALAL
ZAHOOR
Title or Position: CEO
Credential: MD
Phone: 469-559-9768