Individual
DR. JOSE A URQUIDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11851 JOLLYVILLE RD STE 103, AUSTIN, TX 78759-2350
(512) 541-2591
Mailing address
11851 JOLLYVILLE RD STE 103, AUSTIN, TX 78759-2350
(512) 541-2591
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
L9942
TX
208100000X
Physical Medicine & Rehabilitation Physician
Primary
L9942
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170229202
—
TX
01
—
8BK240
BCBS OF TEXAS
TX
Enumeration date
06/21/2006
Last updated
06/17/2009
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