Provider Demographics
NPI:1669827424
Name:MEDSPRING OF TEXAS PA
Entity Type:Organization
Organization Name:MEDSPRING OF TEXAS PA
Other - Org Name:MEDPSRING URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CMO
Authorized Official - Prefix:
Authorized Official - First Name:JON
Authorized Official - Middle Name:
Authorized Official - Last Name:BELSHER
Authorized Official - Suffix:
Authorized Official - Credentials:M
Authorized Official - Phone:888-980-0505
Mailing Address - Street 1:3711 S. MOPAC EXPRESSWAY
Mailing Address - Street 2:BLDG. 2 STE 400
Mailing Address - City:AUST
Mailing Address - State:TX
Mailing Address - Zip Code:78746-8014
Mailing Address - Country:US
Mailing Address - Phone:888-980-0505
Mailing Address - Fax:
Practice Address - Street 1:2501 WEST 7TH STREET
Practice Address - Street 2:STE. 101
Practice Address - City:FORT. WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-8013
Practice Address - Country:US
Practice Address - Phone:888-980-0505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-29
Last Update Date:2016-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care