Organization
FAST TRACK URGENT CARE - BASTROP
Active
Other names
Fast Aid Urgent Care - Bastrop
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY LANE DENNIS (CREDENTIALING SPECIALIST)
(210) 890-8840
Entity
Organization
Contact information
Practice address
1670 HIGHWAY 71 E STE D, BASTROP, TX 78602-2033
(512) 856-9060
Mailing address
PO BOX 33173, SAN ANTONIO, TX 78265-3173
(512) 856-9060
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/15/2023
Last updated
01/16/2026
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