Organization
AUSTIN IMMEDIATE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN LAROE MD. (MEDICAL DIRECTOR)
(512) 282-2273
Entity
Organization
Contact information
Practice address
5000 W SLAUGHTER LN, BLDG. 6, SUITE 100, AUSTIN, TX 78749-3997
(512) 282-2273
Mailing address
5000 W SLAUGHTER LN, BLDG. 6, SUITE 100, AUSTIN, TX 78749-3997
(512) 282-2273
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
PA02586
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
UPIN-S92401
—
TX
Enumeration date
02/07/2008
Last updated
03/29/2010
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