ACCESS URGENT CARE-KINGSVILLE LLC NPI 1679052666

NPI Information

NPI: 1679052666
Provider Name: ACCESS URGENT CARE-KINGSVILLE LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 45D2166622

Address:
401 E KING AVE
KINGSVILLE, TX
ZIP 78363
Phone: (361) 884-2904
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ACCESS URGENT CARE-KINGSVILLE LLC is an urgent care clinic center in Kingsville, TX. ACCESS URGENT CARE-KINGSVILLE LLC NPI is 1679052666. The provider is registered as an organization entity type.

The provider's business location address is:

401 E KING AVE
KINGSVILLE, TX
ZIP 78363-666
Phone: (361) 884-2904
Fax: (361) 884-1912

The provider's authorized official is Paul David Kenyon .
The authorized official title is Medical Director and has the following contact phone number (361) 884-2904.

The CLIA number assigned to this NPI record is 45D2166622 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2018 and was last updated on 7/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care	H8172	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	835526	OTHER	TEXAS	GROUP PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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