Email sent to :  trpndataentry@trpnppo.com  Sub : Provider Enrollment Form - CUCC - TRPN  Greetings,  Hope you are doing well. Enrollment form is attached for the provider. Please see the attachments.  Practice Details: Practice Name: Columbus Urgent Care PA Practice Tax ID# : 47-1914151 Practice NPI# : 1215330501 Practice Address: 926 Walnut St, Columbus , TX 78934-2215  Provider: Provider Name: John, Jeny Provider NPI : 1073019493  Feel free to reach out for any further information.  Thank you!