Provider Demographics
NPI:1922410356
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:DR
Authorized Official - First Name:JON
Authorized Official - Middle Name:
Authorized Official - Last Name:BELSHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-402-6235
Mailing Address - Street 1:PO BOX 160247
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78716-0247
Mailing Address - Country:US
Mailing Address - Phone:888-980-0303
Mailing Address - Fax:
Practice Address - Street 1:517 S LAMAR BLVD STE B
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-1549
Practice Address - Country:US
Practice Address - Phone:512-861-8055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-20
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care