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NPI Code Detail

MEDICARE: CARESPOT PROFESSIONAL SERVICES OF TEXAS, P.A.

MEDICARE: CARESPOT PROFESSIONAL SERVICES OF TEXAS, P.A.
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
1261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1407195795
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARESPOT PROFESSIONAL SERVICES OF TEXAS, P.A.
Provider Business Mailing Address
First Line : 115 EASTPARK DR
Second Line : SUITE 300
City : BRENTWOOD
State : TN
Zip : 37027-7548
Country : US
Telephone Number : 615-600-4075
Fax Number : 615-309-4624
Provider Business Practice Location Address
First Line : 3750 GATTIS SCHOOL RD
Second Line : SUITE 900
City : ROUND ROCK
State : TX
Zip : 78664-4642
Country : US
Telephone Number : 512-501-6576
Fax Number : 512-341-9162
Authorized Official
Title or Position : SOLE OFFICER
Name : JENNIFER B MEKO
Credential : M.D.
Telephone Number : 615-260-7921
Provider Enumeration Date : 02/06/2013
Last Update Date : 11/10/2014

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