CITYDOC URGENT CARE CENTER 4, PLLC (NPI# 1063772861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063772861 |
Entity Type | Organization |
Organization Name | CITYDOC URGENT CARE CENTER 4, PLLC |
Practice Address |
2791 Matlock Rd Suite B Mansfield TX 76063 |
Mailing Address |
2807 Allen St Pmb 358 Dallas TX 75204-1031 |
Practice Telephone | 2148717000 |
Practice Fax Number | 2148717020 |
Mailing Telephone | 2148717000 |
Mailing Fax Number | 2148717020 |
Enumeration Date | 2012-05-25 |
Last Update Date | 2012-05-25 |
Authorized Official Name | ANGIE VASQUEZ (CREDENTIALING) |
Authorized Official Telephone | 2148717000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | CITYDOC URGENT CARE CENTER 4, PLLC | 2891 Matlock Rd Ste B, Mansfield, TX 76063-5382 |
Street Address |
2791 MATLOCK RD SUITE B |
City | MANSFIELD |
State | TX |
Zip Code | 76063 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
Find all providers in zip 76063 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801428099 | Samaritan Regional Health System | Clinic/Center | 1033 Ashland Rd Ste 173, Mansfield, OH 44905-2156 | 2020-02-06 |
1497044606 | North Texas Urgent Care, P.a. | Clinic/Center | 980 N Walnut Creek Dr Ste 100, Mansfield, TX 76063-8020 | 2011-03-29 |
1326479684 | Cook Children's Medical Center | Clinic/Center | 801 Matlock Rd, Mansfield, TX 76063-9174 | 2013-12-11 |
1720379084 | Mc Health Pllc | Clinic/Center | 980 N Walnut Creek Dr, Suite 100, Mansfield, TX 76063-8019 | 2011-04-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184223372 | Advanced Medical Services Associates, LLC | Clinic/Center | Advanced Urgent Care Center, 3690 W Wheatland Rd, Suite 150, Dallas, TX 75237 | 2020-10-20 |
1578161022 | Hendrick Health Urgent Care | Clinic/Center | 820 E Ambler Ave, Abilene, TX 79601 | 2020-10-15 |
1528666153 | Rapid Med Argyle | Clinic/Center | 391 Us Highway 377, Argyle, TX 76226 | 2020-10-15 |
1649877655 | Hero Medical Services, Pllc | Clinic/Center | 12621 Hero Way West, Leander, TX 78641 | 2020-10-02 |
1992302194 | Home Care Coverage Team Pllc | Clinic/Center | 8200 Liberty Grove Rd Ste 102, Rowlett, TX 75089-2322 | 2020-10-01 |
1649886466 | Goldfish Pediatric Urgent Care PC | Clinic/Center | 2302 Sam Rayburn Hwy # 202, Melissa, TX 75454-2696 | 2020-09-17 |
1336754753 | Texas Health Behavioral Health Hospital Corinth | Clinic/Center | 125 Davis Blvd, Southlake, TX 76092-8209 | 2020-09-11 |
1831704253 | Texas Health Behavioral Health Hospital Corinth | Clinic/Center | 2855 Preston Rd, Frisco, TX 75034-9438 | 2020-09-11 |
1053926477 | Texas Health Behavioral Health Hospital Corinth | Clinic/Center | 4635 Frankford Rd, Dallas, TX 75287-7108 | 2020-09-11 |
1972118388 | Texas Health Behavioral Health Hospital Corinth | Clinic/Center | 3805 W University Dr Ste 100, Mckinney, TX 75071-2944 | 2020-09-11 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.