# SOUTHLAKE DOCTORS EXPRESS, PA PSC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTHLAKE DOCTORS EXPRESS, PA PSC
- **Other names:** AFC Urgent Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588144893
- **Legal business name:** SOUTHLAKE DOCTORS EXPRESS, PA PSC
- **Authorized official:** MR. JUSTIN M. RAINS JD (CEO)
- **Authorized official phone:** (817) 488-9922

## Contact information

- **Practice address:** 325 CENTRAL EXPY S, ALLEN, TX 75013-2786
- **Practice address phone:** (469) 640-4232
- **Practice address fax:** (469) 854-6453
- **Mailing address:** 2315 E SOUTHLAKE BLVD STE 110, SOUTHLAKE, TX 76092-6684
- **Mailing address phone:** (817) 488-9922
- **Mailing address fax:** (817) 488-8917

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/16/2018
- **Last updated:** 04/03/2019