MEDICARE: COMMUNITYMED URGENT CARE SYSTEM, LLC

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	261QP2300X	Primary Care Clinic/Center
2	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1215359674
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITYMED URGENT CARE SYSTEM, LLC

Provider Business Mailing Address
First Line	:	16775 ADDISON RD STE 615
Second Line	:
City	:	ADDISON
State	:	TX
Zip	:	75001-5630
Country	:	US
Telephone Number	:	972-464-1611
Fax Number	:	972-464-1611

Provider Business Practice Location Address
First Line	:	3591 MCKINNEY ST
Second Line	:	SUITE 200
City	:	MELISSA
State	:	TX
Zip	:	75454-9571
Country	:	US
Telephone Number	:	972-464-1611
Fax Number	:	972-464-1611

Authorized Official
Title or Position	:	CEO
Name	:	MR. BIRKEN OLSON
Credential	:
Telephone Number	:	972-523-4973

Provider Enumeration Date	:	01/19/2014
Last Update Date	:	01/19/2014

Similar Medicare Providers

1154333169 — DONNA I VASQUEZ MD
Practice Location Address:

3591 MCKINNEY ST , SUITE 100
MELISSA, TX
75454-9571

Practice Phone: 972-837-1075
Practice Fax:

1235312299 — JENIFER L BRANSON PA
Practice Location Address:

3591 MCKINNEY ST , SUITE 100
MELISSA, TX
75454-9571

Practice Phone: 972-837-1075
Practice Fax: 972-837-4120

1821417072 — COMMUNITYMED PLLC
Practice Location Address:

3591 MCKINNEY ST , SUITE 200
MELISSA, TX
75454-9571

Practice Phone: 972-464-1611
Practice Fax: 972-464-1611

1093251340 — MELISSA EYE ASSOCIATES
Practice Location Address:

3591 MCKINNEY STREET , STE. 200
MELISSA, TX
75454-9571

Practice Phone: 972-837-2222
Practice Fax: 972-837-2223

1053910877 — MICHELE RENEE BLUM FNP-C
Practice Location Address:

3591 MCKINNEY ST STE 400A
MELISSA, TX
75454-9571

Practice Phone: 729-464-1611
Practice Fax:

1568047934 — NATASHA HOODA DAWOOD
Practice Location Address:

3591 MCKINNEY ST
MELISSA, TX
75454-9571

Practice Phone: 972-837-2222
Practice Fax:

Directions to “COMMUNITYMED URGENT CARE SYSTEM, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.