| NPI | 1255760054 |
|---|---|
| Doing Business As | MAIN STREET URGENT CARE |
| Entity Type | Organization |
| Authorized Contact | MELISSA THURMOND DEDMON Administrative Manager 830-249-9995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX K8182) |
| 363A00000X Physician Assistant (Licence: TX PA02389) | |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2016-09-08 |