Healthcare Provider Details

I. General information

NPI: 1003635855
Provider Name (Legal Business Name): URGENTFIT TELEMED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2024
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1513 2ND ST STE A
PLEASANTON TX
78064-2220
US

IV. Provider business mailing address

1513 2ND ST STE A
PLEASANTON TX
78064-2220
US

V. Phone/Fax

Practice location:
  • Phone: 210-800-4642
  • Fax:
Mailing address:
  • Phone: 830-336-4119
  • Fax: 877-353-9156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ROEL MOLINA
Title or Position: OWNER
Credential: FNP
Phone: 210-880-4642