NPI:
1720587314
Provider Name:
MEDEXPRESS URGENT CARE TEXAS, P.A.
Doing Business As: MEDEXPRESS URGENT CARE - KELLER, N TARRANT PKWY
Classification:
Clinic/Center - 261QU0200X
Entity Type:
Organization
Specialization: Urgent Care
CLIA Number: 45D2149336
Address:
5700 N TARRANT PKWY
FORT WORTH, TX
ZIP 76244
Phone:
(817) 281-0196
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MEDEXPRESS URGENT CARE TEXAS, P.A. is an urgent care clinic center in Fort Worth, TX. MEDEXPRESS URGENT CARE TEXAS, P.A. NPI is 1720587314. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Medexpress Urgent Care - Keller, N Tarrant Pkwy.
The provider's business location address is:
5700 N TARRANT PKWY
FORT WORTH, TX
ZIP 76244-203
Phone: (817) 281-0196
Fax: (817) 281-0197
The provider's authorized official is Brett Gall .
The authorized official title is Director Payor Contracting and has the following contact phone number (304) 225-2500.
The CLIA number assigned to this NPI record is 45D2149336 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/8/2018 and was last updated on 10/2/2019.