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	:	1205195666
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDSPRING OF TEXAS, PA

Provider Business Mailing Address
First Line	:	PO BOX 160247
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78716-0247
Country	:	US
Telephone Number	:	888-980-0505
Fax Number	:	512-485-7393

Provider Business Practice Location Address
First Line	:	3906 N LAMAR BLVD
Second Line	:	SUITE 100
City	:	AUSTIN
State	:	TX
Zip	:	78756-4025
Country	:	US
Telephone Number	:	512-861-8040
Fax Number	:	512-485-7393

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JON LESLIE BELSHER
Credential	:	M.D.
Telephone Number	:	512-402-6235

Provider Enumeration Date	:	05/04/2012
Last Update Date	:	05/04/2012

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