Myc Urgent Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

J4319 Issued in TX

Legal business name

MYC URGENT CARE LLC

Doing business as

MYC Urgent Care

Practice address

106 Plaza Dr
Red Oak, TX 75154-3981

Phone

(972) 515-8700

Fax

(469) 218-0681

NPI assigned

May 28, 2015

Last updated

Jun 12, 2015By 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

Dr. Federico Maese, MD

Title

Physician/ President

Phone

(972) 515-8700

Specialties & licenses 2

Addresses

Other names 1

• MYC Urgent Care Doing business as

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1811376445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PLAZA DR",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751543981",
            "telephone_number": "972-515-8700",
            "fax_number": "469-218-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PLAZA DR",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751543981",
            "telephone_number": "972-515-8700",
            "fax_number": "469-218-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYC URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "MAESE",
        "authorized_official_first_name": "FEDERICO",
        "authorized_official_title_or_position": "PHYSICIAN/ PRESIDENT",
        "authorized_official_telephone_number": "972-515-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": "J4319",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J4319",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MYC Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urgent Care Clinic/Center in Red Oak, TX
• Providers in Red Oak, 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 Jun 12, 2015; 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.