Provider Demographics
NPI:1639993801
Name:ALPHA EXPRESS URGENT CARE
Entity type:Organization
Organization Name:ALPHA EXPRESS URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:OMOLARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABITOYRE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-251-8991
Mailing Address - Street 1:2626 S CARRIER PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-5014
Mailing Address - Country:US
Mailing Address - Phone:469-251-8991
Mailing Address - Fax:469-251-8995
Practice Address - Street 1:2626 S CARRIER PKWY STE 100
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-5014
Practice Address - Country:US
Practice Address - Phone:469-251-8991
Practice Address - Fax:469-251-8995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-13
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care