Organization Active NPI

Aic Urgent Care, PLLC

Doing business as Affinity Immediate Care-Galveston

  • Family Medicine Physician
  • Galveston, TX
National Provider Identifier
1821435157
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L9314 Issued in TX
Legal business name
AIC URGENT CARE, PLLC
Doing business as
Affinity Immediate Care-Galveston
Practice address
2808 61St St
Suite 200
Galveston, TX 77551
Phone
(281) 886-8964
Fax
(281) 605-1914
NPI assigned
May 28, 2013
Last updated
May 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Authorized official

Name
Megan Jefferson
Title
HR Generalist/Credentialing
Phone
(281) 886-8964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X L9314 TX Primary

Addresses

Primary practice location

2808 61St St
Suite 200
Galveston, TX 77551

Mailing address

2808 61St St
Suite 200
Galveston, TX 77551
Phone (281) 886-8964

Other names 1

  • AFFINITY IMMEDIATE CARE-GALVESTON Doing business as

National Provider Directory

National Provider Directory

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": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1821435157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 61ST ST",
            "address_2": "SUITE 200",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "77551",
            "telephone_number": "281-886-8964",
            "fax_number": "281-605-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 61ST ST",
            "address_2": "SUITE 200",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "77551",
            "telephone_number": "281-886-8964",
            "fax_number": "281-605-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIC URGENT CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "HR GENERALIST/CREDENTIALING",
        "authorized_official_telephone_number": "281-886-8964"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L9314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFFINITY IMMEDIATE CARE-GALVESTON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galveston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.