SOUTHLAKE DOCTORS EXPRESS, PA PSC


Address: 325 Central Expy S, Allen, TX 75013-2786
Phone: 4696404232

SOUTHLAKE DOCTORS EXPRESS, PA PSC (NPI# 1588144893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588144893
Entity Type Organization
Organization Name SOUTHLAKE DOCTORS EXPRESS, PA PSC
Other Organization Name AFC URGENT CARE
Practice Address 325 Central Expy S
Allen
TX 75013-2786
Mailing Address 2315 E Southlake Blvd Ste 110
Southlake
TX 76092-6684
Practice Telephone 4696404232
Practice Fax Number 4698546453
Mailing Telephone 8174889922
Mailing Fax Number 8174888917
Enumeration Date 2018-08-16
Last Update Date 2019-04-03
Authorized Official Name MR. JUSTIN M. RAINS (CEO)
Authorized Official Telephone 8174889922
Authorized Official Credential JD
Is Organization Subpart Y
Parent Organization Name SOUTHLAKE DOCTORS EXPRESS, PA PSC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
AFC Urgent Care Doing Business As Name - Organization
American Family Care Urgent Care Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1942519335 Southlake Doctors Express, Pa Psc Clinic/Center 2315 E Southlake Blvd, Suite 110, Southlake, TX 76092-6691 2010-10-01

Office Location

Street Address 325 CENTRAL EXPY S
City ALLEN
State TX
Zip Code 75013-2786

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NPI Name Taxonomy Address Enumeration
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1417569807 Navaneetha Brindha Natchimuthu Dds, Pllc Dentist 880 W Exchange Parkway, Building A, Suite 140, Allen, TX 75013 2020-08-18
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1497363741 Pharmestate LLC Pharmacy 317 Central Expressway North, Allen, TX 75013 2020-07-22
1265063002 Paul-douglas Walters Clinic/Center 1101 Raintee Circle, Suite 130, Allen, TX 75013 2020-01-30
1043840069 Thrive Dental Allen Pllc Dentist 1010 W Exchange Pkwy, #130, Allen, TX 75013 2020-01-17
1023578952 Keri Owens In Home Supportive Care 1823 Valencia Drive, Allen, TX 75013 2019-03-25
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1689288342 Nortex Medical Group General Practice 981 State Highway 121 Ste 4150, Allen, TX 75013 2020-09-01
1104325083 Medical Diagnostic Services, Pllc General Practice 190 E Stacy Rd Ste 306-228, Allen, TX 75002-8734 2018-02-06
1457725277 Men's Wellness and Testosterone Center, LLC General Practice 945 W Stacy Rd Ste 120, Allen, TX 75013-5077 2015-11-17
1285071035 Cedar Woods Int'l Health Care, Inc. General Practice 505 Exchange Pkwy Apt 2304, Allen, TX 75002-1752 2013-06-03
1609814037 Le Salveo Care Corp General Practice 614 S. Watters Rd., Suite 101, Allen, TX 75013-4732 2006-06-04
1225085137 David C Kuo General Practice 541 W. Mcdermott Dr, Suite A, Allen, TX 75013-8033 2006-05-27
1982155537 Allied Physical Medicine, Pa General Practice 309 S Jupiter Rd Ste 100, Allen, TX 75002-3052 2016-10-19
1659311561 Jacqueline Nga Le General Practice 614 S. Watters Rd., Suite 101, Allen, TX 75013 2006-06-08

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Competitor

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City ALLEN
Zip Code 75013

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Dataset Information

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.

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