Avalon Urgent Care

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

AVALON URGENT CARE

Practice address

805 Hill Blvd Unit 102
Granbury, TX 76048-1482

Phone

(817) 579-7557

Fax

(817) 579-6166

NPI assigned

Apr 17, 2008

Last updated

Nov 18, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles Brooks Smith, M.D.

Title

Co-Owner/Medical Director

Phone

(817) 579-7557

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1063686301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 HILL BLVD UNIT 102",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760481482",
            "telephone_number": "817-579-7557",
            "fax_number": "817-579-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 HILL BLVD UNIT 102",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760481482",
            "telephone_number": "817-579-7557",
            "fax_number": "817-579-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "BROOKS",
        "authorized_official_title_or_position": "CO-OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "817-579-7557",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urgent Care Clinic/Center in Granbury, TX
• Providers in Granbury, TX by specialty
• Urgent Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.