Healthcare Provider Details

I. General information

NPI: 1083151377
Provider Name (Legal Business Name): FREEDOM URGENT CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2017
Last Update Date: 02/20/2020
Certification Date: 02/20/2020
Deactivation Date: 02/17/2020
Reactivation Date: 02/20/2020

III. Provider practice location address

3202 S W S YOUNG DR SUITE 106
KILLEEN TX
76542-6537
US

IV. Provider business mailing address

10319 JEFFERSON HWY
BATON ROUGE LA
70809-2730
US

V. Phone/Fax

Practice location:
  • Phone: 225-214-9352
  • Fax: 225-214-9349
Mailing address:
  • Phone: 225-214-9352
  • Fax: 225-214-9349

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: STEVE SELLARS
Title or Position: PRESIDENT
Credential:
Phone: 225-214-9353