Healthcare Provider Details

I. General information

NPI: 1124551833
Provider Name (Legal Business Name): XPRESS URGENT CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2017
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23000 TELEGRAPH RD STE 1
FLAT ROCK MI
48134-9265
US

IV. Provider business mailing address

23000 TELEGRAPH RD STE 1
FLAT ROCK MI
48134-9265
US

V. Phone/Fax

Practice location:
  • Phone: 201-931-5713
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: WAYEL KATRIB
Title or Position: OWNER
Credential: MD
Phone: 201-931-5713