Healthcare Provider Details
I. General information
NPI: 1881419620
Provider Name (Legal Business Name): UNITED PRIMARY CLINIC CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/18/2024
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6407 S COOPER ST STE 117
ARLINGTON TX
76001-5813
US
IV. Provider business mailing address
6407 S COOPER ST STE 117
ARLINGTON TX
76001-5813
US
V. Phone/Fax
- Phone: 817-472-7601
- Fax:
- Phone: 817-472-7601
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RR0500X |
| Taxonomy | Rheumatology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208VP0000X |
| Taxonomy | Pain Medicine Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QI0500X |
| Taxonomy | Infusion Therapy Clinic/Center |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
UMAR
SAEED
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 817-472-7601