Provider Demographics
NPI:1164797791
Name:ACUTE KIDS URGENT CARE OF MEDICAL CITY CHILDREN'S HOSPITAL PLLC
Entity Type:Organization
Organization Name:ACUTE KIDS URGENT CARE OF MEDICAL CITY CHILDREN'S HOSPITAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AVP REVENUE CYCLE URGENT CARE
Authorized Official - Prefix:MRS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-906-8107
Mailing Address - Street 1:PO BOX 742091
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-2091
Mailing Address - Country:US
Mailing Address - Phone:972-745-7500
Mailing Address - Fax:972-745-4336
Practice Address - Street 1:3305 DALLAS PKWY
Practice Address - Street 2:SUITE 345
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093
Practice Address - Country:US
Practice Address - Phone:972-300-4200
Practice Address - Fax:972-300-4201
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WEST LPN, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-03-15
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Multi-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty