Organization · Type 2 NPI

My Urban Clinic, Inc

Clinic/Center · Gary, IN

NPI number 1124215637 Active

Practice location

1116 Broadway
Gary, IN 46407-1307

Fax (219) 886-3144

Mailing address

PO Box 421472
Houston, TX 77242-1472

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1124215637

My Urban Clinic, Inc's National Provider Identifier is 1124215637, issued on Sep 28, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Gary, IN. The record was last updated on Jul 21, 2022.