Provider Demographics
NPI:1750664231
Name:EXPRESS URGENT CARE, PC
Entity Type:Organization
Organization Name:EXPRESS URGENT CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JALAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:623-815-3757
Mailing Address - Street 1:10249 W THUNDERBIRD BLVD
Mailing Address - Street 2:STE. 300
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-3113
Mailing Address - Country:US
Mailing Address - Phone:623-889-7285
Mailing Address - Fax:623-889-7286
Practice Address - Street 1:10249 W THUNDERBIRD BLVD
Practice Address - Street 2:STE. 300
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-3113
Practice Address - Country:US
Practice Address - Phone:623-889-7285
Practice Address - Fax:623-889-7286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care