Provider Demographics
NPI: | 1548909906 |
---|---|
Name: | URGENT SPECIALTY ASSOCIATES OF TEXAS, PLLC |
Entity type: | Organization |
Organization Name: | URGENT SPECIALTY ASSOCIATES OF TEXAS, PLLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | JOHN |
Authorized Official - Middle Name: | D |
Authorized Official - Last Name: | JOSEPHS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 469-609-9908 |
Mailing Address - Street 1: | 13500 POWERS CT STE 230 |
Mailing Address - Street 2: | |
Mailing Address - City: | FORT MYERS |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33912-4503 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 817-856-0655 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 450 W MEDICAL CENTER BLVD STE 207 |
Practice Address - Street 2: | |
Practice Address - City: | WEBSTER |
Practice Address - State: | TX |
Practice Address - Zip Code: | 77598-4234 |
Practice Address - Country: | US |
Practice Address - Phone: | 346-358-0880 |
Practice Address - Fax: | 346-358-0888 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2022-06-02 |
Last Update Date: | 2025-05-09 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 2086S0102X | Allopathic & Osteopathic Physicians | Surgery | Surgical Critical Care | Group - Single Specialty |