Provider Demographics
NPI:1285226381
Name:FIRST RESPONSE URGENT CARE-LUMBERTON
Entity Type:Organization
Organization Name:FIRST RESPONSE URGENT CARE-LUMBERTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:THI
Authorized Official - Middle Name:THANH
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:409-344-4557
Mailing Address - Street 1:PO BOX 1288
Mailing Address - Street 2:
Mailing Address - City:NEDERLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77627-1288
Mailing Address - Country:US
Mailing Address - Phone:409-344-4557
Mailing Address - Fax:409-344-4587
Practice Address - Street 1:434 N LHS DR STE 500
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:TX
Practice Address - Zip Code:77657-1209
Practice Address - Country:US
Practice Address - Phone:409-344-4557
Practice Address - Fax:409-344-4587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-09
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care