Provider Demographics
NPI:1164795407
Name:RESOLUTE HEALTH FAMILY URGENT CARE INC
Entity Type:Organization
Organization Name:RESOLUTE HEALTH FAMILY URGENT CARE INC
Other - Org Name:RESOLUTE HEALTH FAMILY URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TESS
Authorized Official - Middle Name:
Authorized Official - Last Name:COODY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-387-5450
Mailing Address - Street 1:301 MAIN PLZ
Mailing Address - Street 2:STE 195
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-5136
Mailing Address - Country:US
Mailing Address - Phone:866-819-2816
Mailing Address - Fax:830-632-6568
Practice Address - Street 1:160 CREEKSIDE WAY
Practice Address - Street 2:SUITE 602
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-6396
Practice Address - Country:US
Practice Address - Phone:615-665-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-16
Last Update Date:2014-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX301007601Medicaid
TXTXB150742Medicare PIN