| Community Urgent Care, Llc | |
|
6407 S Cooper St Ste 117 Arlington TX 76001-5813 | |
| (817) 472-7601 | |
| Not Available |
| Full Name | Community Urgent Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6407 S Cooper St Ste 117, Arlington, Texas |
| Authorized Official Name and Position | Ahmed Shuja (MANAGING MEMBER) |
| Authorized Official Contact | 2145061136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Urgent Care, Llc Po Box 941805 Plano TX 75094-1805 Ph: (469) 482-0861 | Community Urgent Care, Llc 6407 S Cooper St Ste 117 Arlington TX 76001-5813 Ph: (817) 472-7601 |
| NPI Number | 1326433376 |
|---|---|
| Provider Enumeration Date | 04/06/2015 |
| Last Update Date | 09/27/2023 |
| Medicare PECOS PAC ID | 8123339306 |
|---|---|
| Medicare Enrollment ID | O20150615000541 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326433376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Niaz Farhat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134295843 PECOS PAC ID: 6406890839 Enrollment ID: I20070626000830 |
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