Provider Demographics
NPI:1992022370
Name:ICARE PROVIDERS INC
Entity Type:Organization
Organization Name:ICARE PROVIDERS INC
Other - Org Name:DOCTORS EXPRESS URGENT CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:J
Authorized Official - Last Name:ANSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-415-6247
Mailing Address - Street 1:5600 W LOVERS LN
Mailing Address - Street 2:SUITE 116-309
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75209-4330
Mailing Address - Country:US
Mailing Address - Phone:214-415-6247
Mailing Address - Fax:
Practice Address - Street 1:9901 ROYAL LN
Practice Address - Street 2:SUITE 106
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-1830
Practice Address - Country:US
Practice Address - Phone:214-415-6247
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-26
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care