Organization
ACCESS URGENT CARE-KINGSVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL DAVID KENYON M.D. (MEDICAL DIRECTOR)
(361) 884-2904
Entity
Organization
Contact information
Practice address
401 E KING AVE, KINGSVILLE, TX 78363-5666
(361) 884-2904
(361) 884-1912
Mailing address
PO BOX 60112, CORPUS CHRISTI, TX 78466-0112
(361) 884-2904
(361) 884-1912
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
H8172
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
835526
GROUP PTAN
TX
Enumeration date
08/09/2018
Last updated
07/13/2021
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