Healthcare Provider Details

I. General information

NPI: 1780863506
Provider Name (Legal Business Name): AMERICAN CURRENT CARE P.A .
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2007
Last Update Date: 01/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2171 B WOODWARD
AUSTIN TX
78744
US

IV. Provider business mailing address

5080 SPECTRUM DIVE SUITE 1200 WEST
ADDISON TX
75001-4625
US

V. Phone/Fax

Practice location:
  • Phone: 512-440-0555
  • Fax: 512-448-1113
Mailing address:
  • Phone: 800-232-3550
  • Fax: 214-775-4516

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 Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. TOM FOGARTY
Title or Position: PRESIDENT
Credential: MD
Phone: 800-232-3550