Healthcare Provider Details

I. General information

NPI: 1144365248
Provider Name (Legal Business Name): COMPREHENSIVE URGENT CARE, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 03/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11614 FM 2244 SUITE 130
AUSTIN TX
78738
US

IV. Provider business mailing address

11614 FM 2244 SUITE 130
AUSTIN TX
78738-5405
US

V. Phone/Fax

Practice location:
  • Phone: 512-263-3911
  • Fax: 512-263-3933
Mailing address:
  • Phone: 512-263-3911
  • Fax: 512-263-3933

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: MR. HUGO F CARVAJAL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 210-297-4570