Provider Demographics
NPI:1821548496
Name:MEDSPRING OF TEXAS PA
Entity Type:Organization
Organization Name:MEDSPRING OF TEXAS PA
Other - Org Name:
Other - Org Type:
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:MD
Authorized Official - Phone:888-980-0505
Mailing Address - Street 1:3711 S MOPAC EXPY
Mailing Address - Street 2:BLDG 2 STE 300
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746
Mailing Address - Country:US
Mailing Address - Phone:888-980-0505
Mailing Address - Fax:
Practice Address - Street 1:7212 BURNET RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757
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:2016-10-07
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care