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Organization
ANGLETON URGENT CARE LLC
Active
Organization
ANGLETON URGENT CARE LLC
Active
Parent organization
ANGLETON URGENT CARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANGLETON URGENT CARE LLC
Authorized official
DR. LARRY KEITH PARKER SR. MD (PHYSICIAN/OWNER)
(832) 551-9945
Entity
Organization
Contact information
Practice address
2315 E MULBERRY ST, ANGLETON, TX 77515-3804
(979) 849-1747
(979) 848-8563
Mailing address
2315 E MULBERRY ST, ANGLETON, TX 77515-3804
(979) 849-1747
(979) 848-8563
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025MF
BCBS #
TX
05
—
179092501
—
TX
Enumeration date
07/02/2006
Last updated
08/27/2014
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