Provider Demographics
NPI:1457763732
Name:ERCA URGENTCARE LP
Entity Type:Organization
Organization Name:ERCA URGENTCARE LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER AND COO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCGEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-619-2060
Mailing Address - Street 1:2700 E ELDORADO PKWY
Mailing Address - Street 2:STE 104-B
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-5999
Mailing Address - Country:US
Mailing Address - Phone:214-619-2060
Mailing Address - Fax:
Practice Address - Street 1:1150 E ELDORADO PKWY
Practice Address - Street 2:STE 200
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-5580
Practice Address - Country:US
Practice Address - Phone:214-619-2060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-21
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
I16804Medicare UPIN