=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942329628
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DOCTORS URGENT CARE PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/27/2007
-----------------------------------------------------
Last Update Date | 07/14/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2801 NORTH INTERSTATE 35 EAST SUITE 130
-----------------------------------------------------
City | CARROLLTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75007
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 469-568-3800
-----------------------------------------------------
Fax | 469-568-2316
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2801 N. I35E SUITE 130
-----------------------------------------------------
City | CARROLLTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75007
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 469-568-3800
-----------------------------------------------------
Fax | 469-568-2316
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. MARGARITA M MILLER
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 469-568-3800
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 146D00000X
-----------------------------------------------------
Taxonomy Name | Personal Emergency Response Attendant
-----------------------------------------------------
License Number | L1196
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------