Healthcare Provider Details

I. General information

NPI: 1740055953
Provider Name (Legal Business Name): EMURGENT CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2023
Last Update Date: 11/18/2023
Certification Date: 11/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3311 E DEL MAR BLVD STE 206
LAREDO TX
78041-5539
US

IV. Provider business mailing address

7313 FLEMING DR
LAREDO TX
78041-2632
US

V. Phone/Fax

Practice location:
  • Phone: 956-436-1500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. ALEX CAVAZOS
Title or Position: FAMILY NURSE PRACTITIONER
Credential: FNP
Phone: 956-436-1500