MEDICARE: MEDSPRING OF TEXAS PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1043685704
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDSPRING OF TEXAS PA

Provider Business Mailing Address
First Line	:	3711 S MOPAC EXPWY
Second Line	:	BLDG 2 STE 400
City	:	AUSTIN
State	:	TX
Zip	:	78746-8014
Country	:	US
Telephone Number	:	888-980-0505
Fax Number	:	512-485-7393

Provider Business Practice Location Address
First Line	:	8901 NORTH FWY
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76177-7613
Country	:	US
Telephone Number	:	888-980-0505
Fax Number	:	512-485-7393

Authorized Official
Title or Position	:	CONTRACTING MANGER
Name	:	CHERYL KADERLI
Credential	:
Telephone Number	:	512-765-9003

Provider Enumeration Date	:	12/07/2015
Last Update Date	:	12/07/2015

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Directions to “MEDSPRING OF TEXAS PA ” Practice Location

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