Healthcare Provider Details
I. General information
NPI: 1750664231
Provider Name (Legal Business Name): EXPRESS URGENT CARE, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/21/2011
Last Update Date: 09/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10249 W THUNDERBIRD BLVD STE. 300
SUN CITY AZ
85351-3113
US
IV. Provider business mailing address
10249 W THUNDERBIRD BLVD STE. 300
SUN CITY AZ
85351-3113
US
V. Phone/Fax
- Phone: 623-889-7285
- Fax: 623-889-7286
- Phone: 623-889-7285
- Fax: 623-889-7286
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | AZ |
VIII. Authorized Official
Name: DR.
JALAL
ABBAS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 623-815-3757