Organization
SOUTHLAKE DOCTORS EXPRESS, PA PSC
Active
Parent organization
SOUTHLAKE DOCTORS EXPRESS, PA PSC
Other names
AFC Urgent Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHLAKE DOCTORS EXPRESS, PA PSC
Authorized official
MR. JUSTIN M. RAINS JD (CEO)
(817) 488-9922
Entity
Organization
Contact information
Practice address
325 CENTRAL EXPY S, ALLEN, TX 75013-2786
(469) 640-4232
(469) 854-6453
Mailing address
2315 E SOUTHLAKE BLVD STE 110, SOUTHLAKE, TX 76092-6684
(817) 488-9922
(817) 488-8917
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/16/2018
Last updated
04/03/2019
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