Healthcare Provider Details
I. General information
NPI: 1174304174
Provider Name (Legal Business Name): STRIVE URGENT CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/06/2023
Last Update Date: 01/31/2024
Certification Date: 01/31/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7125 N CHESTNUT AVE STE 101
FRESNO CA
93720-0358
US
IV. Provider business mailing address
7125 N CHESTNUT AVE STE 101
FRESNO CA
93720-0358
US
V. Phone/Fax
- Phone: 559-767-4135
- Fax:
- Phone: 559-767-4135
- Fax: 559-767-4181
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
TARIQ
JAVED
Title or Position: CEO
Credential: MD
Phone: 559-767-4135