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NPI Code Detail

MEDICARE: MEDSPRING OF TEXAS, PA

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
1261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1679934467
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 : AUSTIN
State : TX
Zip : 78746-8014
Country : US
Telephone Number : 888-980-0505
Fax Number :
Provider Business Practice Location Address
First Line : 2404 MCKINNEY AVE
Second Line :
City : DALLAS
State : TX
Zip : 75201-1936
Country : US
Telephone Number : 888-980-0505
Fax Number :
Authorized Official
Title or Position : CMO
Name : JON BELSHER
Credential : MD
Telephone Number : 512-551-1368
Provider Enumeration Date : 03/08/2016
Last Update Date : 06/24/2016

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