Provider Demographics
NPI:1083075576
Name:AFFORDABLE URGENT CARE AND FAMILY PRACTICE, PLLC
Entity Type:Organization
Organization Name:AFFORDABLE URGENT CARE AND FAMILY PRACTICE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEYA
Authorized Official - Middle Name:J
Authorized Official - Last Name:DAFASHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-991-7603
Mailing Address - Street 1:PO BOX 591059
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77259-1059
Mailing Address - Country:US
Mailing Address - Phone:281-919-2061
Mailing Address - Fax:832-461-1976
Practice Address - Street 1:5033 FM 1960 RD W
Practice Address - Street 2:SUITE 300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-4562
Practice Address - Country:US
Practice Address - Phone:281-919-2061
Practice Address - Fax:832-461-1976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-11
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care