| 1st Class Urgent Care Center Pllc | |
|
1811 E Bethany Dr Allen TX 75002-1882 | |
| (214) 383-1700 | |
| (214) 383-7166 |
| Full Name | 1st Class Urgent Care Center Pllc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 1811 E Bethany Dr, Allen, Texas |
| Authorized Official Name and Position | Joseph B Taiwo (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2143831700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 1st Class Urgent Care Center Pllc Po Box 1485 Allen TX 75013-0024 Ph: (214) 383-1700 | 1st Class Urgent Care Center Pllc 1811 E Bethany Dr Allen TX 75002-1882 Ph: (214) 383-1700 |
| NPI Number | 1861752024 |
|---|---|
| Provider Enumeration Date | 05/22/2012 |
| Last Update Date | 06/03/2022 |
| Medicare PECOS PAC ID | 6901061167 |
|---|---|
| Medicare Enrollment ID | O20120713000329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861752024 | NPI | - | NPPES |
| 0026XV | Other | BCBS OF TEXAS | |
| 0026XV | Other | TX | BCBS OF TEXAS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Primary |
| Provider Name | Joseph B Taiwo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174796254 PECOS PAC ID: 3577622885 Enrollment ID: I20091208000248 |
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