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	:	1669827424
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDSPRING OF TEXAS PA

Provider Business Mailing Address
First Line	:	3711 S. MOPAC EXPRESSWAY
Second Line	:	BLDG. 2 STE 400
City	:	AUST
State	:	TX
Zip	:	78746-8014
Country	:	US
Telephone Number	:	888-980-0505
Fax Number	:

Provider Business Practice Location Address
First Line	:	2501 WEST 7TH STREET
Second Line	:	STE. 101
City	:	FORT. WORTH
State	:	TX
Zip	:	76107-8013
Country	:	US
Telephone Number	:	888-980-0505
Fax Number	:

Authorized Official
Title or Position	:	CMO
Name	:	JON BELSHER
Credential	:	M
Telephone Number	:	888-980-0505

Provider Enumeration Date	:	04/29/2016
Last Update Date	:	04/29/2016

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