Provider Demographics
NPI:1568735041
Name:ATASCOSA URGENT CARE MEDICAL CLINIC PA
Entity Type:Organization
Organization Name:ATASCOSA URGENT CARE MEDICAL CLINIC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLARREAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-219-6766
Mailing Address - Street 1:P.O. BOX 1050
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:TX
Mailing Address - Zip Code:78064
Mailing Address - Country:US
Mailing Address - Phone:210-219-6766
Mailing Address - Fax:830-281-8521
Practice Address - Street 1:1020 BENSDALE RD
Practice Address - Street 2:SUITE A
Practice Address - City:PLEASANTON
Practice Address - State:TX
Practice Address - Zip Code:78064-2037
Practice Address - Country:US
Practice Address - Phone:210-219-6766
Practice Address - Fax:830-569-2413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-15
Last Update Date:2012-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care