Healthcare Provider Details
I. General information
NPI: 1811417330
Provider Name (Legal Business Name): EXPECARE, LP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/26/2017
Last Update Date: 06/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
633 SW JOHNSON AVE
BURLESON TX
76028-5805
US
IV. Provider business mailing address
6407 S COOPER ST STE 117
ARLINGTON TX
76001-5813
US
V. Phone/Fax
- Phone: 817-435-4670
- Fax: 817-295-5572
- Phone: 817-472-7601
- Fax:
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 | TX |
VIII. Authorized Official
Name: DR.
UMAR
SAEED
Title or Position: OWNER
Credential: MD
Phone: 832-477-5164