URGENT CARE OF VIDOR (NPI# 1053596791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053596791 |
| Entity Type | Organization |
| Organization Name | URGENT CARE OF VIDOR |
| Practice Address |
535 N Main St Vidor TX 77662-4939 |
| Practice Telephone | 4097832525 |
| Practice Fax Number | 4097832490 |
| Mailing Telephone | 4097832525 |
| Mailing Fax Number | 4097832490 |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |
| Authorized Official Name | PHILLIP WARD (OFFICE MANAGER) |
| Authorized Official Telephone | 4097832525 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | L6710 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
535 N MAIN ST |
| City | VIDOR |
| State | TX |
| Zip Code | 77662-4939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497033674 | Minor Home Healthcare & Housekeeping Associates | Custodial Care Facility | 2730 Hwy 12 Ste. 2, Vidor, TX 77662 | 2011-07-22 |
| 1356477764 | Vidor Pharmacy LLC. | Durable Medical Equipment & Medical Supplies | 1130 N Main St, Vidor, TX 77662 | 2007-02-27 |
| 1114566833 | Crystal Young | Nurse Practitioner | 2353 N Main St, Vidor, TX 77662-2610 | 2019-12-27 |
| 1770035966 | Terri Jo Clark | Nurse Practitioner | 2353 N Main St, Vidor, TX 77662-2610 | 2016-11-04 |
| 1952798191 | Suhani Bhakta | Family Medicine | 2353 N Main St, Vidor, TX 77662-2610 | 2015-04-24 |
| 1801999727 | Jason M Holmes | Chiropractor | 2612 N Main St, Vidor, TX 77662-2674 | 2006-09-06 |
| 1598038564 | American Eagle Medical Supply | Durable Medical Equipment & Medical Supplies | 2612 N Main St, Vidor, TX 77662-2674 | 2012-02-21 |
| 1174023691 | Kathy Blankenship | Home Health | 615 Evangeline Dr, Vidor, TX 77662-2719 | 2018-02-21 |
| 1770646150 | Promed Medical & Respiratory Supply, Inc. | Durable Medical Equipment & Medical Supplies | 1465 N Main St, Vidor, TX 77662-3009 | 2006-12-18 |
| 1972584852 | Texas Total Care,inc. | Home Health | 1880 N Main St, Vidor, TX 77662-3018 | 2005-11-08 |
| Find all providers in zip 77662 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528280310 | Tiffany Larae Beggs | Family Medicine | 260 S Archie St, Vidor, TX 77662-4839 | 2007-05-03 |
| 1861442030 | Duncan G Bowell | Family Medicine | 1091 N Main St, Suite B, Vidor, TX 77662-4359 | 2006-05-11 |
| 1952798191 | Suhani Bhakta | Family Medicine | 2353 N Main St, Vidor, TX 77662-2610 | 2015-04-24 |
| 1063793586 | Michael K Crossley, M D P A | Family Medicine | 1880 N Main St, Vidor, TX 77662-3018 | 2011-08-30 |
| 1205036233 | Main St. Medical Center of Vidor | Family Medicine | 1091 N Main St, Ste B, Vidor, TX 77662-4339 | 2007-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073599 | Julie Suzanne Rodriguez | Family Medicine | 421 W Wadley Ave Ste B, Midland, TX 79705-5368 | 2020-11-06 |
| 1871194670 | Priscilla Tehrani | Family Medicine | 615 North Loop E Unit 100, Houston, TX 77022-5934 | 2020-11-06 |
| 1821699976 | Dr. G Medical Solutions | Family Medicine | 4840 W Panther Creek Dr Ste 211, The Woodlands, TX 77381-3542 | 2020-11-05 |
| 1124629522 | Jose Reynaldo Carcamo Jr. | Family Medicine | 18568 Texas 46, Suite 1001, Spring Branch, TX 78070 | 2020-11-03 |
| 1205437662 | Angela Ekern | Family Medicine | 7421 Cordoba Dr, Austin, TX 78724-6252 | 2020-11-03 |
| 1770184020 | Kara Fenceroy | Family Medicine | 5425 Rolling Meadows Dr, Fort Worth, TX 76123-2836 | 2020-11-03 |
| 1881295327 | Courtney L Buchmeier | Family Medicine | 16620 San Pedro Ave, San Antonio, TX 78232-2327 | 2020-11-02 |
| 1003416207 | Adeline Galvez | Family Medicine | 1300 W Terrell Ave Ste 270, Fort Worth, TX 76104-2820 | 2020-10-27 |
| 1710585229 | Megan Alyse Loyd | Family Medicine | 2101 Kingsley Dr Apt 3106, Pearland, TX 77584-4118 | 2020-10-16 |
| 1104424795 | Rachel Elizabeth Whitten | Family Medicine | 614 S Business Ih 35 Ste A, New Braunfels, TX 78130-4748 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.