MEDICARE: RESOLUTE HEALTH FAMILY URGENT CARE INC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164795407
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESOLUTE HEALTH FAMILY URGENT CARE INC

Provider Business Mailing Address
First Line	:	301 MAIN PLZ
Second Line	:	STE 195
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-5136
Country	:	US
Telephone Number	:	866-819-2816
Fax Number	:	830-632-6568

Provider Business Practice Location Address
First Line	:	160 CREEKSIDE WAY
Second Line	:	SUITE 602
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-6396
Country	:	US
Telephone Number	:	615-665-6000
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. TESS COODY
Credential	:
Telephone Number	:	830-387-5450

Provider Enumeration Date	:	02/16/2012
Last Update Date	:	04/04/2014

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