# C3ERLAS1,PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Code 3 Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265966626
- **Authorized official:** DR. CARRIE E DE MOOR MD (CEO)
- **Authorized official phone:** (469) 320-9820

## Contact information

- **Practice address:** 5757 WAYNE NEWTON BLVD, TERMINAL 1, 2ND FLOOR, LAS VEGAS, NV 89111
- **Practice address phone:** (702) 846-0020
- **Practice address fax:** (702) 846-0024
- **Mailing address:** 5300 TOWN AND COUNTRY BLVD, SUITE 260, FRISCO, TX 75034-6894
- **Mailing address phone:** (469) 320-9820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/12/2017
- **Last updated:** 07/09/2018