MEDICARE: ALPHA EXPRESS URGENT CARE

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

General Provider Information

NPI Number	:	1639993801
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPHA EXPRESS URGENT CARE

Provider Business Mailing Address
First Line	:	2626 S CARRIER PKWY STE 100
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-5014
Country	:	US
Telephone Number	:	469-251-8991
Fax Number	:	469-251-8995

Provider Business Practice Location Address
First Line	:	2626 S CARRIER PKWY STE 100
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-5014
Country	:	US
Telephone Number	:	469-251-8991
Fax Number	:	469-251-8995

Authorized Official
Title or Position	:	MD
Name	:	OMOLARA ABITOYRE
Credential	:	MD
Telephone Number	:	469-251-8991

Provider Enumeration Date	:	11/13/2024
Last Update Date	:	01/14/2025

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Directions to “ALPHA EXPRESS URGENT CARE ” Practice Location

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