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NPI Code Detail

MEDICARE: 1ST CLASS URGENT CARE CENTER PLLC

MEDICARE: 1ST CLASS URGENT CARE CENTER PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2207P00000XEmergency Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10026XVOTHERBCBS OF TEXAS
20026XVOTHERTXBCBS OF TEXAS

General Provider Information

NPI Number : 1861752024
Entity Type Code : Organization
Provider Name (Legal Business Name) : 1ST CLASS URGENT CARE CENTER PLLC
Provider Business Mailing Address
First Line : PO BOX 1485
Second Line :
City : ALLEN
State : TX
Zip : 75013-0024
Country : US
Telephone Number : 214-383-1700
Fax Number :
Provider Business Practice Location Address
First Line : 1811 E BETHANY DR
Second Line :
City : ALLEN
State : TX
Zip : 75002-1882
Country : US
Telephone Number : 214-383-1700
Fax Number : 214-383-7166
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : JOSEPH B TAIWO
Credential : M.D.
Telephone Number : 214-383-1700
Provider Enumeration Date : 05/22/2012
Last Update Date : 06/03/2022

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Directions to “1ST CLASS URGENT CARE CENTER PLLC ” Practice Location

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