Provider Demographics
NPI:1811417330
Name:EXPECARE, LP
Entity Type:Organization
Organization Name:EXPECARE, LP
Other - Org Name:TEXAS WALK-IN & URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:UMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:SAEED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-477-5164
Mailing Address - Street 1:6407 S COOPER ST STE 117
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76001-5813
Mailing Address - Country:US
Mailing Address - Phone:817-472-7601
Mailing Address - Fax:
Practice Address - Street 1:633 SW JOHNSON AVE
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-5805
Practice Address - Country:US
Practice Address - Phone:817-435-4670
Practice Address - Fax:817-295-5572
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EXPECARE, LP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-06-26
Last Update Date:2017-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0027XMOtherBCBS OF TX