Provider Demographics
NPI:1437574639
Name:AMARILLO UFIRST URGENT CARE CLINIC INC.
Entity Type:Organization
Organization Name:AMARILLO UFIRST URGENT CARE CLINIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JULITO
Authorized Official - Middle Name:
Authorized Official - Last Name:UY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-341-0153
Mailing Address - Street 1:PO BOX 50046
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79159-0046
Mailing Address - Country:US
Mailing Address - Phone:806-418-2170
Mailing Address - Fax:806-418-2157
Practice Address - Street 1:201 WESTGATE PKWY UNIT A
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79121-1109
Practice Address - Country:US
Practice Address - Phone:806-418-2170
Practice Address - Fax:806-418-2157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-25
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
TXK1710261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1649650011OtherPRIMARY CARE