Provider Demographics
NPI:1134942345
Name:URGENT SPECIALTY ASSOCIATES OF MISSISSIPPI PLLC
Entity type:Organization
Organization Name:URGENT SPECIALTY ASSOCIATES OF MISSISSIPPI PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:D
Authorized Official - Last Name:JOSEPHS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-609-9908
Mailing Address - Street 1:PO BOX 679276
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75267-9276
Mailing Address - Country:US
Mailing Address - Phone:855-495-1400
Mailing Address - Fax:
Practice Address - Street 1:499 GLOSTER CREEK VLG STE 4
Practice Address - Street 2:
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38801-4600
Practice Address - Country:US
Practice Address - Phone:662-377-6470
Practice Address - Fax:662-377-6330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical CareGroup - Multi-Specialty