MEDICARE: PROMPT CARE INTERNAL MEDICINE PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center	K 9942	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164478343
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROMPT CARE INTERNAL MEDICINE PA

Provider Business Mailing Address
First Line	:	9 MEDICAL PKWY
Second Line	:	SUITE 209
City	:	DALLAS
State	:	TX
Zip	:	75234-7858
Country	:	US
Telephone Number	:	972-620-8100
Fax Number	:	972-620-8106

Provider Business Practice Location Address
First Line	:	9 MEDICAL PKWY
Second Line	:	SUITE 209
City	:	DALLAS
State	:	TX
Zip	:	75234-7858
Country	:	US
Telephone Number	:	972-620-8100
Fax Number	:	972-620-8106

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BASIL A YOUNIS
Credential	:	M.D
Telephone Number	:	972-620-8100

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	03/17/2011

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Directions to “PROMPT CARE INTERNAL MEDICINE PA ” Practice Location

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