MEDICARE: ALL CHILDREN'S URGENT CARE,PLLC

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	261QU0200X	Urgent Care Clinic/Center
2	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1386980670
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL CHILDREN'S URGENT CARE,PLLC

Provider Business Mailing Address
First Line	:	6520 N PRESIDENT GEORGE BUSH HWY
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75044-3925
Country	:	US
Telephone Number	:	972-971-4223
Fax Number	:

Provider Business Practice Location Address
First Line	:	6520 N PRESIDENT GEORGE BUSH HWY
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75044-3925
Country	:	US
Telephone Number	:	972-971-4223
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SAMEEH ZALLOUM
Credential	:	MD
Telephone Number	:	972-971-4223

Provider Enumeration Date	:	12/14/2012
Last Update Date	:	08/19/2016

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