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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 : 1770975435
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDSPRING OF TEXAS, PA
Provider Business Mailing Address
First Line : 500 CANYON RIDGE DR
Second Line : J350
City : AUSTIN
State : TX
Zip : 78753-1632
Country : US
Telephone Number : 512-792-4460
Fax Number : 512-485-7393
Provider Business Practice Location Address
First Line : 2901 VIA FORTUNA
Second Line : STE 600
City : AUSTIN
State : TX
Zip : 78746-7565
Country : US
Telephone Number : 512-765-9003
Fax Number : 512-410-6533
Authorized Official
Title or Position : CONTRACTING MANAGER
Name : CHERYL KADERLI
Credential :
Telephone Number : 512-765-9003
Provider Enumeration Date : 03/04/2015
Last Update Date : 03/04/2015

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Directions to “MEDSPRING OF TEXAS, PA ” Practice Location

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