Provider Demographics
NPI:1942329628
Name:DOCTORS URGENT CARE PA
Entity Type:Organization
Organization Name:DOCTORS URGENT CARE PA
Other - Org Name:I-35E MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-568-3800
Mailing Address - Street 1:2801 N. I35E
Mailing Address - Street 2:SUITE 130
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007
Mailing Address - Country:US
Mailing Address - Phone:469-568-3800
Mailing Address - Fax:469-568-2316
Practice Address - Street 1:2801 NORTH INTERSTATE 35 EAST
Practice Address - Street 2:SUITE 130
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007
Practice Address - Country:US
Practice Address - Phone:469-568-3800
Practice Address - Fax:469-568-2316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1196146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5756152OtherDR SHAMEEM NAZEER
TX5756148OtherDR. NISARG SHAH