Provider Demographics
NPI:1003593427
Name:MEDICUS URGENT CARE
Entity Type:Organization
Organization Name:MEDICUS URGENT CARE
Other - Org Name:MEDICUS URGENT CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRANG
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-899-8123
Mailing Address - Street 1:1322 ELTON RD STE E
Mailing Address - Street 2:
Mailing Address - City:JENNINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70546-4100
Mailing Address - Country:US
Mailing Address - Phone:337-824-6835
Mailing Address - Fax:337-824-8741
Practice Address - Street 1:1322 ELTON RD STE E
Practice Address - Street 2:
Practice Address - City:JENNINGS
Practice Address - State:LA
Practice Address - Zip Code:70546-4100
Practice Address - Country:US
Practice Address - Phone:337-824-6835
Practice Address - Fax:337-824-8741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-28
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care