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General NPI Number Information
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NPI Number | 1376004655
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Entity Type | Organization
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Legal Business Name | SUMMIT HEALTH URGENT CARE PLLC
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Dates
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Enumeration Date | 03/28/2019
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 12828 ELDORADO PARKWAY
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City | FRISCO
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State | TX
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Zip | 75035
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Country | US
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Telephone | 866-600-9547
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Fax |
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Provider Business Mailing Address
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Address Line | 12828 ELDORADO PKWY STE 170
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City | FRISCO
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State | TX
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Zip | 75035-5988
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Country | US
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Telephone | 214-550-0911
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | VARALAKSHMI JHINGADE DEVESH
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Credential |
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Telephone | 404-384-5444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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Taxonomy #6
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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