Southlake Doctors Express, PA Psc

NPI #1588144893 in Allen, Texas

Provider Information

NPI Number: 1588144893
Entity Type: Organization
Organization Name: Southlake Doctors Express, PA Psc
Subpart: Yes (part of a larger organization)
Parent Organization: SOUTHLAKE DOCTORS EXPRESS, PA PSC
Primary Specialty: General Practice
Enumeration Date: Aug 16, 2018
Last Updated: Apr 3, 2019

Practice Location

Address: 325 CENTRAL EXPY S
City: Allen
State: Texas
ZIP Code: 75013-2786
Phone: (469) 640-4232

Authorized Official

Name: MR. JUSTIN M. RAINS, JD
Title: CEO
Phone: (817) 488-9922

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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