| Organization Name: | TRI CITIES URGENT CARE PLLC |
| NPI Number: | 1235449752 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NADEEM A KHAN (OWNER) |
| Mailing Address: | 123 S. Ranch House Rd Willow Park |
| State: | TX US |
| Postal Code: | 760082649 |
| Phone Number: | 8179847120 |
| Fax Number: | 8179847121 |
| NPI Enumeration Date: | 10/18/2010 |
| NPI Last Update Date: | 04/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | K8777 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |