Provider Demographics
NPI:1043567480
Name:MEDSPRING PRIME, P.A.
Entity Type:Organization
Organization Name:MEDSPRING PRIME, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JON
Authorized Official - Middle Name:LESLIE
Authorized Official - Last Name:BELSHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-402-6235
Mailing Address - Street 1:PO BOX 160247
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78716-0247
Mailing Address - Country:US
Mailing Address - Phone:888-980-0505
Mailing Address - Fax:512-485-7393
Practice Address - Street 1:1250 S CAPITAL OF TEXAS HWY
Practice Address - Street 2:BUILDING ONE, SUITE 500
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6446
Practice Address - Country:US
Practice Address - Phone:888-980-0505
Practice Address - Fax:512-485-7393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-03
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care