Organization Name: | CITYDOC URGENT CARE CENTER 2, PLLC |
NPI Number: | 1003044942 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KYLE DELP (OFFICE MANAGER) |
Mailing Address: | 5301 Lovers Lane Dallas |
State: | TX US |
Postal Code: | 75209 |
Phone Number: | 2148717000 |
Fax Number: | |
NPI Enumeration Date: | 06/30/2009 |
NPI Last Update Date: | 06/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |