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Organization
UT EAST TEXAS URGENT CARE CENTERS, PLLC
Active
Organization
UT EAST TEXAS URGENT CARE CENTERS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN C. PETROVICH (EVP, GENERAL COUNSEL)
(615) 296-3594
Entity
Organization
Contact information
Practice address
301 E STATE HIGHWAY 243 STE 121, CANTON, TX 75103-2418
(903) 567-4692
Mailing address
340 SEVEN SPRINGS WAY STE 100, BRENTWOOD, TN 37027-5697
(615) 296-3594
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
10/22/2024
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