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NPI Code Detail

MEDICARE: COMMUNITY URGENT CARE, LLC

MEDICARE: COMMUNITY URGENT CARE, 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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1326433376
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY URGENT CARE, LLC
Provider Business Mailing Address
First Line : PO BOX 941805
Second Line :
City : PLANO
State : TX
Zip : 75094-1805
Country : US
Telephone Number : 469-482-0861
Fax Number : 469-273-1720
Provider Business Practice Location Address
First Line : 6407 S COOPER ST STE 117
Second Line :
City : ARLINGTON
State : TX
Zip : 76001-5813
Country : US
Telephone Number : 817-472-7601
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : AHMED SHUJA
Credential :
Telephone Number : 214-506-1136
Provider Enumeration Date : 04/06/2015
Last Update Date : 09/27/2023

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Directions to “COMMUNITY URGENT CARE, LLC ” Practice Location

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