Provider Demographics
NPI:1780130013
Name:MEDSPRING OF TEXAS PA
Entity type:Organization
Organization Name:MEDSPRING OF TEXAS PA
Other - Org Name:<UNAVAIL>
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:512-551-1368
Mailing Address - Street 1:3711 S. MOPAC EXPRESSWAY
Mailing Address - Street 2:BLDG. 2 STE 400
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-8014
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:377 W CAMPBELL RD
Practice Address - Street 2:SUITE 100
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3693
Practice Address - Country:US
Practice Address - Phone:512-551-1368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-28
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care