Healthcare Provider Details
I. General information
NPI: 1164795407
Provider Name (Legal Business Name): RESOLUTE HEALTH FAMILY URGENT CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/16/2012
Last Update Date: 04/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
160 CREEKSIDE WAY SUITE 602
NEW BRAUNFELS TX
78130-6396
US
IV. Provider business mailing address
301 MAIN PLZ STE 195
NEW BRAUNFELS TX
78130-5136
US
V. Phone/Fax
- Phone: 615-665-6000
- Fax:
- Phone: 866-819-2816
- Fax: 830-632-6568
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: MRS.
TESS
COODY
Title or Position: CEO
Credential:
Phone: 830-387-5450