Provider Demographics
NPI:1407091119
Name:PREMIER URGENT CARE ASSOCIATES PA
Entity Type:Organization
Organization Name:PREMIER URGENT CARE ASSOCIATES PA
Other - Org Name:PREMIER URGENT CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:SHAWN
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-754-8695
Mailing Address - Street 1:6000 COLLEYVILLE BLVD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-8024
Mailing Address - Country:US
Mailing Address - Phone:972-754-8695
Mailing Address - Fax:
Practice Address - Street 1:6000 COLLEYVILLE BLVD
Practice Address - Street 2:STE 150
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-8024
Practice Address - Country:US
Practice Address - Phone:972-754-8695
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care