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SOUTHLAKE DOCTORS EXPRESS PA PSC NPI 1588144893


NPI Information

NPI: 1588144893
Provider Name: SOUTHLAKE DOCTORS EXPRESS, PA PSC

Doing Business As: AFC URGENT CARE

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 45D2123948

Address:
325 CENTRAL EXPY S
ALLEN, TX
ZIP 75013
Phone: (469) 640-4232
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SOUTHLAKE DOCTORS EXPRESS, PA PSC is a general practice in Allen, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SOUTHLAKE DOCTORS EXPRESS, PA PSC NPI is 1588144893. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Afc Urgent Care.

The provider's business location address is:

325 CENTRAL EXPY S
ALLEN, TX
ZIP 75013-786
Phone: (469) 640-4232
Fax: (469) 854-6453

The provider's authorized official is Justin M. Rains .
The authorized official title is Ceo and has the following contact phone number (817) 488-9922.

The CLIA number assigned to this NPI record is 45D2123948 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2018 and was last updated on 4/3/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.