Provider Demographics
NPI:1164621934
Name:URGENT HEALTH SOLUTIONS, PLLC
Entity Type:Organization
Organization Name:URGENT HEALTH SOLUTIONS, PLLC
Other - Org Name:URGENT DOC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:GELLATLY
Authorized Official - Last Name:IVERSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:936-240-8032
Mailing Address - Street 1:PO BOX 153120
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75915-3120
Mailing Address - Country:US
Mailing Address - Phone:936-633-2400
Mailing Address - Fax:936-633-2404
Practice Address - Street 1:2132 SOUTH 1ST STREET
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75901
Practice Address - Country:US
Practice Address - Phone:936-634-3627
Practice Address - Fax:936-633-2398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-12
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH8992261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00Y369Medicare PIN