Active NPI
Central Texas Urgent Care P.a.
- Emergency Medical Services (Emergency Medicine) Physician
- Waco, TX
National Provider Identifier
1417101171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- L2082
- Legal business name
- CENTRAL TEXAS URGENT CARE P.A.
- Practice address
- 1201 Hewitt Dr
203
Waco, TX 76712-8833 - Phone
- (254) 666-3627
- NPI assigned
- Nov 7, 2008
- Last updated
- Dec 22, 2011
- 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
- Dr. Foy Edward Dark, D.O.
- Title
- Owner
- Phone
- (254) 666-3627
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 |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | L2082 | TX | Primary |
Addresses
Primary practice location
1201 Hewitt Dr
203
Waco, TX 76712-8833
Mailing address
1201 Hewitt Dr
203
Waco, TX 76712-8833
Phone (254) 666-3627
National Provider Directory
National Provider DirectoryLocations
1135 N Loop 340
Ste 203
Waco, TX 76705
Phone (254) 666-3627
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Emergency Medicine Physician
- Waco, TX
- NPI 1003928060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324512000000",
"number": "1417101171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 HEWITT DR",
"address_2": "203",
"city": "WACO",
"state": "TX",
"postal_code": "767128833",
"telephone_number": "254-666-3627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 HEWITT DR",
"address_2": "203",
"city": "WACO",
"state": "TX",
"postal_code": "767128833",
"telephone_number": "254-666-3627"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL TEXAS URGENT CARE P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-07",
"last_updated": "2011-12-22",
"status": "A",
"authorized_official_last_name": "DARK",
"authorized_official_first_name": "FOY",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "254-666-3627",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "TX",
"license": "L2082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
- Central Texas Pediatrics
- Central Texas Psychotherapy PLLC
- Central Texas Radiological Associates PA
- Central Texas Senior Ministry
- Central Texas Therapy Spot PLLC
- Central Texas Urologic Associates, P.a. (Central Texas Urology)
- Central Texas Womens Care PA
- Cernosek Chiropractic. P.C.
- Craig Eric Cernosek, D.C.
- Kimberly Ceyanes, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.