Provider Demographics
NPI:1407195795
Name:CARESPOT PROFESSIONAL SERVICES OF TEXAS, P.A.
Entity Type:Organization
Organization Name:CARESPOT PROFESSIONAL SERVICES OF TEXAS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:B
Authorized Official - Last Name:MEKO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-260-7921
Mailing Address - Street 1:115 EASTPARK DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-7548
Mailing Address - Country:US
Mailing Address - Phone:615-600-4075
Mailing Address - Fax:615-309-4624
Practice Address - Street 1:3750 GATTIS SCHOOL RD
Practice Address - Street 2:SUITE 900
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-4642
Practice Address - Country:US
Practice Address - Phone:512-501-6576
Practice Address - Fax:512-341-9162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-06
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty