Active NPI
Urgent Care Center by DMD LLC
- Urgent Care Clinic/Center
- Edinburg, TX
National Provider Identifier
1396563417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- URGENT CARE CENTER BY DMD LLC
- Practice address
- 1112 S McColl Rd
Edinburg, TX 78539-2907 - Phone
- (956) 624-7208
- NPI assigned
- Sep 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Vergil C Datu
- Title
- Partner
- Phone
- (956) 358-5158
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
1112 S McColl Rd
Edinburg, TX 78539-2907
Mailing address
1112 S McColl Rd
Edinburg, TX 78539-2907
Phone (956) 358-5158
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2328608 | Urgent Care Center by DMD LLC | Certificate of waiver | Aug 12, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acute Care Nurse Practitioner
- Weslaco, TX
- NPI 1629303946
-
- Critical Care Medicine Nurse Practitioner
- McAllen, TX
- NPI 1750750030
-
- Family Medicine Physician
- McAllen, TX
- NPI 1851827166
-
- Certified Registered Nurse Anesthetist
- McAllen, TX
- NPI 1245622265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748822400000",
"number": "1396563417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 S MCCOLL RD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785392907",
"telephone_number": "956-358-5158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 S MCCOLL RD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785392907",
"telephone_number": "956-624-7208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "URGENT CARE CENTER BY DMD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-27",
"last_updated": "2025-06-02",
"certification_date": "2025-06-02",
"status": "A",
"authorized_official_last_name": "DATU",
"authorized_official_first_name": "VERGIL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "956-358-5158",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.