Provider Demographics
NPI:1497044606
Name:NORTH TEXAS URGENT CARE, P.A.
Entity Type:Organization
Organization Name:NORTH TEXAS URGENT CARE, P.A.
Other - Org Name:EXPEDIAN CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MINH
Authorized Official - Middle Name:V
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:817-473-9473
Mailing Address - Street 1:980 N WALNUT CREEK DR STE 100
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-8020
Mailing Address - Country:US
Mailing Address - Phone:817-473-9473
Mailing Address - Fax:
Practice Address - Street 1:980 N WALNUT CREEK DR STE 100
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-8020
Practice Address - Country:US
Practice Address - Phone:817-473-9473
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-29
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care