Southern Urgent Care Center L.P

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L0209 Issued in TX

Legal business name

SOUTHERN URGENT CARE CENTER L.P

Practice address

104 Gallery Cir Ste 114
San Antonio, TX 78258-3330

Phone

(210) 481-6060

Fax

(210) 481-6068

NPI assigned

Dec 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sudhir R Gogu, DONPI 1942270400

Title

Physician

Phone

(210) 481-6060

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 3

• STONE OAK URGENT CARE/ FAMILY PRACTICE Doing business as
• Stone Oak Urgent Care Doing business as
• Stone Oak Urgent Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Southern Urgent Care Center LP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southern Urgent Care Center L.P

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1043046170
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sudhir R Gogu, D.O., PHD, MBA

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1942270400
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1194908285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 GALLERY CIR STE 114",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583330",
            "telephone_number": "210-481-6060",
            "fax_number": "210-481-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 GALLERY CIR STE 114",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583330",
            "telephone_number": "210-481-6060",
            "fax_number": "210-481-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN URGENT CARE CENTER L.P",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "GOGU",
        "authorized_official_first_name": "SUDHIR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "210-481-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L0209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194908285",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "H19945",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STONE OAK URGENT CARE/ FAMILY PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "STONE OAK URGENT CARE/ FAMILY PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stone Oak Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stone Oak Urgent Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Southlake BNPT Investment LLC
• Southside Children'S Dental Center, P.C.
• Southside Childrensa Dental Center
• Southside Family Dental Center PC
• Southside Independent School District

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.