Healthcare Provider Details

I. General information

NPI: 1154667301
Provider Name (Legal Business Name): MEDSPRING OF TEXAS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2012
Last Update Date: 12/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6501 S FRY RD SUITE 1000
KATY TX
77494-3377
US

IV. Provider business mailing address

PO BOX 160247
AUSTIN TX
78716-0247
US

V. Phone/Fax

Practice location:
  • Phone: 832-260-0670
  • Fax: 512-485-7393
Mailing address:
  • Phone: 888-980-0505
  • Fax: 512-402-6233

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: DR. JON LESLIE BELSHER
Title or Position: PRESIDENT
Credential: MD
Phone: 512-402-6235