Provider Demographics
NPI:1912456823
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:
Authorized Official - First Name:UMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:SAEED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-899-1911
Mailing Address - Street 1:651 N DENTON TAP RD
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-2007
Mailing Address - Country:US
Mailing Address - Phone:972-899-1911
Mailing Address - Fax:972-899-1970
Practice Address - Street 1:651 N DENTON TAP RD
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-2007
Practice Address - Country:US
Practice Address - Phone:972-899-1911
Practice Address - Fax:972-899-1970
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EXPECARE, LP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-10-04
Last Update Date:2017-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0027XMOtherBCBS OF TX