Organization Active NPI

Central Texas Urgent Care P.a.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Waco, TX
National Provider Identifier
1417101171
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
L2082 Issued in TX
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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.NPI 1003928060
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.