Provider Demographics
NPI:1275015885
Name:CARMEN PURL MD PLLC
Entity Type:Organization
Organization Name:CARMEN PURL MD PLLC
Other - Org Name:DR PURL'S FAST CARE WALK IN CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PURL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-948-1459
Mailing Address - Street 1:PO BOX 1759
Mailing Address - Street 2:
Mailing Address - City:DUMAS
Mailing Address - State:TX
Mailing Address - Zip Code:79029-1759
Mailing Address - Country:US
Mailing Address - Phone:806-948-1459
Mailing Address - Fax:806-717-2123
Practice Address - Street 1:1524 GUY LANE PLZ
Practice Address - Street 2:
Practice Address - City:DUMAS
Practice Address - State:TX
Practice Address - Zip Code:79029
Practice Address - Country:US
Practice Address - Phone:806-948-1459
Practice Address - Fax:806-948-1459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-30
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center