Healthcare Provider Details
I. General information
NPI: 1568757250
Provider Name (Legal Business Name): AMERICAN CURRENT CARE PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/10/2011
Last Update Date: 07/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10001 SOUTH IH-35 STE 300
AUSTIN TX
78747
US
IV. Provider business mailing address
5080 SPECTRUM DRIVE SUITE 1200 WEST
ADDISON TX
75001
US
V. Phone/Fax
- Phone: 512-440-0555
- Fax: 512-448-1113
- Phone: 972-364-8000
- Fax: 214-775-4502
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ROBERT
HASSETT
Title or Position: PRESIDENT
Credential: D.O.
Phone: 972-364-8000