Provider Demographics
NPI:1639799984
Name:HARDIN COUNTY URGENT CARE PLLC
Entity Type:Organization
Organization Name:HARDIN COUNTY URGENT CARE PLLC
Other - Org Name:HARDIN COUNTY URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:LACKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-782-4795
Mailing Address - Street 1:655 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:TX
Mailing Address - Zip Code:77657-7378
Mailing Address - Country:US
Mailing Address - Phone:409-227-4084
Mailing Address - Fax:409-227-4140
Practice Address - Street 1:655 S MAIN ST
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:TX
Practice Address - Zip Code:77657-7378
Practice Address - Country:US
Practice Address - Phone:094-227-4084
Practice Address - Fax:409-227-4140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-16
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care