Provider Demographics
NPI:1093113912
Name:FIRST RESPONSE URGENT CARE
Entity Type:Organization
Organization Name:FIRST RESPONSE URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THI
Authorized Official - Middle Name:THANH
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:409-344-4557
Mailing Address - Street 1:3620 HIGHWAY 365
Mailing Address - Street 2:SUITE 400
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77642-7716
Mailing Address - Country:US
Mailing Address - Phone:409-344-4557
Mailing Address - Fax:409-344-4587
Practice Address - Street 1:3620 HIGHWAY 365
Practice Address - Street 2:SUITE 400
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642-7716
Practice Address - Country:US
Practice Address - Phone:409-344-4557
Practice Address - Fax:409-344-4587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-09
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP7823261Q00000X, 261QP2300X, 261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care