Provider Demographics
NPI:1851623441
Name:TOTAL URGENT CARE
Entity Type:Organization
Organization Name:TOTAL URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWLING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-984-7643
Mailing Address - Street 1:7777 HENNESSY BLVD STE 1004-154
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-4300
Mailing Address - Country:US
Mailing Address - Phone:409-984-7643
Mailing Address - Fax:
Practice Address - Street 1:5502 39TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:GROVES
Practice Address - State:TX
Practice Address - Zip Code:77619-2929
Practice Address - Country:US
Practice Address - Phone:409-984-7643
Practice Address - Fax:409-984-7641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-05
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine