Basic Information
Provider Information
NPI: 1548510597
EntityType: 2
ReplacementNPI:  
OrganizationName: NT URGENT CARE, PLLC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: DENTON REGIONAL URGENT CARE CENTER
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 742313
Address2:  
City: ATLANTA
State: GA
PostalCode: 303742313
CountryCode: US
TelephoneNumber: 9727457500
FaxNumber: 9727454336
Practice Location
Address1: 2520 W UNIVERSITY DR
Address2: SUITE 1154
City: DENTON
State: TX
PostalCode: 76201
CountryCode: US
TelephoneNumber: 9403843535
FaxNumber: 9405661715
Other Information
ProviderEnumerationDate: 09/18/2012
LastUpdateDate: 01/26/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: MCKINNEY
AuthorizedOfficialFirstName: RHONDA
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: AVP REVENUE CYCLE URGENT CARE
AuthorizedOfficialTelephone: 9729068107
IsSoleProprietor:  
IsOrganizationSubpart: Y
ParentOrganizationLBN: COLUMBIA MEDICAL CENTER OF DENTON SUBSIDIARY, L.P.
AuthorizedOfficialNamePrefix: MRS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261QU0200X  Y Ambulatory Health Care FacilitiesClinic/CenterUrgent Care

No ID Information.


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