Organization
RAYPHA URGENT CARE & CLINICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAKIYA ENGO DIALLO MD (MEDICAL DIRECTOR)
(972) 271-1156
Entity
Organization
Contact information
Practice address
3334 BROADWAY BLVD, 422, GARLAND, TX 75043-1585
(972) 271-1156
(972) 271-1691
Mailing address
3334 BROADWAY BLVD, 422, GARLAND, TX 75043-1585
(972) 271-1156
(972) 271-1691
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
N4380
TX
261QU0200X
Urgent Care Clinic/Center
N4380
TX
Other
Enumeration date
09/25/2012
Last updated
10/23/2013
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