Provider Demographics
NPI:1790926376
Name:ALLCARE FAMILY AND URGENT CARE CLINICS, PA
Entity Type:Organization
Organization Name:ALLCARE FAMILY AND URGENT CARE CLINICS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OSEHOTUE
Authorized Official - Middle Name:
Authorized Official - Last Name:OKOJIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-515-9646
Mailing Address - Street 1:PO BOX 639
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-0639
Mailing Address - Country:US
Mailing Address - Phone:214-515-9646
Mailing Address - Fax:215-515-9654
Practice Address - Street 1:3825 ROSS AVENUE SUITE 150
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-5138
Practice Address - Country:US
Practice Address - Phone:214-515-9646
Practice Address - Fax:214-515-9654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-12
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN0329207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0001SGOtherBCBS OF TX
TXN0329OtherTEXAS LICENCE
TX50159417OtherTEXAS DPS
TX0A3743Medicare PIN