Provider Demographics
NPI:1386837672
Name:DFW URGENT CARE PC
Entity Type:Organization
Organization Name:DFW URGENT CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:EMERY
Authorized Official - Last Name:STERLING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-938-0965
Mailing Address - Street 1:500 8TH AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-2065
Mailing Address - Country:US
Mailing Address - Phone:817-938-0965
Mailing Address - Fax:866-827-4104
Practice Address - Street 1:500 8TH AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2065
Practice Address - Country:US
Practice Address - Phone:817-938-0965
Practice Address - Fax:866-827-4104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7892261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX179040402Medicaid
TX179040402Medicaid