MEDICARE: AMERICA FIRST 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	R6459	OTHER	TX	STATE LICENSE

General Provider Information

NPI Number	:	1861083768
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICA FIRST URGENT CARE PLLC

Provider Business Mailing Address
First Line	:	809 S MACARTHUR BLVD STE 400
Second Line	:
City	:	COPPELL
State	:	TX
Zip	:	75019-4261
Country	:	US
Telephone Number	:	469-498-2000
Fax Number	:	469-498-3000

Provider Business Practice Location Address
First Line	:	809 S MACARTHUR BLVD STE 400
Second Line	:
City	:	COPPELL
State	:	TX
Zip	:	75019-4261
Country	:	US
Telephone Number	:	469-498-2000
Fax Number	:	469-498-3000

Authorized Official
Title or Position	:	OWNER
Name	:	BILAL HUSSAIN PIRACHA
Credential	:	MD
Telephone Number	:	469-498-2000

Provider Enumeration Date	:	02/02/2021
Last Update Date	:	02/05/2021

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