Provider Demographics
NPI:1558811083
Name:VALUE URGENT CARE CLINICS OF TEXAS PLLC
Entity Type:Organization
Organization Name:VALUE URGENT CARE CLINICS OF TEXAS PLLC
Other - Org Name:URGENT CARE TX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:NICHOLAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-642-0073
Mailing Address - Street 1:1208 W HENDERSON ST
Mailing Address - Street 2:
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76033-8731
Mailing Address - Country:US
Mailing Address - Phone:325-603-3900
Mailing Address - Fax:325-603-0334
Practice Address - Street 1:1208 W HENDERSON ST
Practice Address - Street 2:
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-8731
Practice Address - Country:US
Practice Address - Phone:325-603-3900
Practice Address - Fax:325-603-0334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-07
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXN4614OtherSTATE LICENSE