Healthcare Provider Details
I. General information
NPI: 1609707868
Provider Name (Legal Business Name): CARBON HEALTH URGENT CARE OF TEXAS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9722 GREAT HILLS TRL STE 375
AUSTIN TX
78759-7263
US
IV. Provider business mailing address
3300 BEE CAVES RD STE 440
WEST LAKE HILLS TX
78746-6770
US
V. Phone/Fax
- Phone: 512-240-9498
- Fax:
- Phone:
- 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:
MARLEY
PAGE
Title or Position: DIRECTOR CONTRACTING
Credential:
Phone: 417-861-9739