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General NPI Number Information
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NPI Number | 1255987434
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Entity Type | Organization
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Legal Business Name | GENESIS URGENT CARE LLC
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Dates
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Enumeration Date | 08/14/2019
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 24727 STATE HIGHWAY 249 STE 120-A
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City | TOMBALL
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State | TX
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Zip | 77375-7877
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Country | US
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Telephone | 281-440-5300
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Fax | 936-323-7006
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Provider Business Mailing Address
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Address Line | 2255 E MOSSY OAKS RD STE 500
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City | SPRING
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State | TX
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Zip | 77389-1813
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Country | US
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Telephone | 832-232-5658
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Fax | 281-298-3996
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DAVID PETER ELLENT
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Credential | MD
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Telephone | 832-232-5658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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