Southlake Doctors Express, PA Psc

NPI #1942519335 in Southlake, Texas

Provider Information

NPI Number
1942519335
Entity Type
Organization
Organization Name
Southlake Doctors Express, PA Psc
Primary Specialty
Clinic/Center - Urgent Care
Enumeration Date
Oct 1, 2010
Last Updated
Apr 3, 2019

Practice Location

Address
2315 E SOUTHLAKE BLVD
Address 2
SUITE 110
State
Texas
ZIP Code
76092-6691
Phone
(817) 488-9922

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Urgent CareUrgent Care

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