Healthcare Provider Details
I. General information
NPI: 1134628050
Provider Name (Legal Business Name): EXPECARE, LP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/06/2018
Last Update Date: 02/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2414 BABCOCK RD
SAN ANTONIO TX
78229-4870
US
IV. Provider business mailing address
6407 S COOPER ST
ARLINGTON TX
76001-6795
US
V. Phone/Fax
- Phone: 817-472-7601
- Fax: 817-472-1723
- Phone: 817-472-7601
- Fax: 817-472-1723
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:
UMAR
SAEED
Title or Position: OWNER/CEO
Credential: MD
Phone: 832-477-5164