Provider Demographics
NPI:1215368394
Name:URA PROFESSIONAL SERVICES, PA
Entity Type:Organization
Organization Name:URA PROFESSIONAL SERVICES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-207-8806
Mailing Address - Street 1:PO BOX 1643
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77497-1643
Mailing Address - Country:US
Mailing Address - Phone:281-207-8806
Mailing Address - Fax:
Practice Address - Street 1:4411 BLUEBONNET DR
Practice Address - Street 2:SUITE 100
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-2912
Practice Address - Country:US
Practice Address - Phone:281-207-8806
Practice Address - Fax:281-207-8906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-27
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty