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Organization
UNITED REGIONAL PHYSICIAN GROUP
Active
Organization
UNITED REGIONAL PHYSICIAN GROUP
Active
Parent organization
UNITED REGIONAL HEALTHCARE SYSTEM
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNITED REGIONAL HEALTHCARE SYSTEM
Authorized official
MR. JOHNNY ROBERTS (PRACTICE ADMINISTRATOR)
(940) 764-3053
Entity
Organization
Contact information
Practice address
4327 BARNETT RD, WICHITA FALLS, TX 76310-2303
(940) 764-5200
(940) 764-5201
Mailing address
PO BOX 9261, WICHITA FALLS, TX 76308-9261
(940) 764-7230
(940) 764-7255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760811-01
—
TX
Enumeration date
06/16/2006
Last updated
07/21/2023
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