Healthcare Provider Details

I. General information

NPI: 1487164604
Provider Name (Legal Business Name): URGENT SPECIALTY ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2017
Last Update Date: 06/09/2021
Certification Date: 06/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7101 JAHNKE RD
RICHMOND VA
23225-4017
US

IV. Provider business mailing address

2000 E LAMAR BLVD STE 430
ARLINGTON TX
76006-7338
US

V. Phone/Fax

Practice location:
  • Phone: 972-468-0029
  • Fax: 972-805-1740
Mailing address:
  • Phone: 239-790-5582
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN JOSEPHS
Title or Position: PROVIDER
Credential: MD
Phone: 972-468-0029