Provider Demographics
NPI:1578872982
Name:OPENGATES URGENT CARE LLC
Entity Type:Organization
Organization Name:OPENGATES URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DESMOND
Authorized Official - Middle Name:OKEY
Authorized Official - Last Name:IKONDU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-630-2143
Mailing Address - Street 1:2502 W TRENTON RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-8070
Mailing Address - Country:US
Mailing Address - Phone:956-630-2143
Mailing Address - Fax:956-682-6115
Practice Address - Street 1:2502 W TRENTON RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-8070
Practice Address - Country:US
Practice Address - Phone:956-630-2143
Practice Address - Fax:956-682-6115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-03
Last Update Date:2010-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1348261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care