Healthcare Provider Details
I. General information
NPI: 1962750612
Provider Name (Legal Business Name): EXPECARE,LP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/28/2012
Last Update Date: 06/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
769 BANDIT TRL
KELLER TX
76248-0111
US
IV. Provider business mailing address
769 BANDIT TRL
KELLER TX
76248-0111
US
V. Phone/Fax
- Phone: 817-472-7601
- Fax: 817-472-7213
- Phone: 817-472-7601
- Fax: 817-472-7213
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 | |
VIII. Authorized Official
Name: DR.
UMAR
SAEED
Title or Position: DOCTOR
Credential: MD
Phone: 832-477-5164