Provider Demographics
NPI:1548607971
Name:EXPRESS URGENT CARE,PLLC
Entity Type:Organization
Organization Name:EXPRESS URGENT CARE,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMAD
Authorized Official - Middle Name:L
Authorized Official - Last Name:ALASBAHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:810-686-1997
Mailing Address - Street 1:8434 N SAGINAW RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT MORRIS
Mailing Address - State:MI
Mailing Address - Zip Code:48458-1190
Mailing Address - Country:US
Mailing Address - Phone:810-686-1997
Mailing Address - Fax:810-686-1820
Practice Address - Street 1:8434 N SAGINAW RD
Practice Address - Street 2:
Practice Address - City:MOUNT MORRIS
Practice Address - State:MI
Practice Address - Zip Code:48458-1190
Practice Address - Country:US
Practice Address - Phone:810-686-1997
Practice Address - Fax:810-686-1820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-24
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301083199207R00000X
MI4704110505363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty