Provider Demographics
NPI:1487205902
Name:RESCUEMD PLLC
Entity Type:Organization
Organization Name:RESCUEMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:OLUBUKOLA
Authorized Official - Middle Name:ADUKE
Authorized Official - Last Name:OKORO
Authorized Official - Suffix:
Authorized Official - Credentials:OKORO
Authorized Official - Phone:763-443-3926
Mailing Address - Street 1:1911 DOUGLAS AVE
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-5709
Mailing Address - Country:US
Mailing Address - Phone:313-649-1867
Mailing Address - Fax:
Practice Address - Street 1:997 RAINTREE CIR STE 130
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-4953
Practice Address - Country:US
Practice Address - Phone:972-390-7667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-25
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care