Healthcare Provider Details
I. General information
NPI: 1962143727
Provider Name (Legal Business Name): TXOK URGENT CARES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/05/2022
Last Update Date: 12/01/2023
Certification Date: 12/01/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3126 W FM 120
DENISON TX
75020-1249
US
IV. Provider business mailing address
367 S GULPH RD
KING OF PRUSSIA PA
19406-3121
US
V. Phone/Fax
- Phone: 903-416-7544
- Fax: 34-167-5459
- Phone: 484-913-7527
- 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:
TODD
EVANS
Title or Position: VP
Credential: VP
Phone: 610-382-4943