Provider Demographics
NPI:1134628050
Name:EXPECARE, LP
Entity type:Organization
Organization Name:EXPECARE, LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
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
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76001-6795
Mailing Address - Country:US
Mailing Address - Phone:817-472-7601
Mailing Address - Fax:817-472-1723
Practice Address - Street 1:2414 BABCOCK RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4870
Practice Address - Country:US
Practice Address - Phone:817-472-7601
Practice Address - Fax:817-472-1723
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EXPECARE, LP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-02-06
Last Update Date:2018-02-06
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
0027XMOtherBCBS