Organization
MD FIRST WATCH HEALTHCARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UNI ESPINOZA (CREDENTIALING CLERK)
(817) 845-5071
Entity
Organization
Contact information
Practice address
310 KELLER PARKWAY, KELLER, TX 76248
(817) 845-5071
Mailing address
310 KELLER PARKWAY, KELLER, TX 76248
(817) 845-5071
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
Q2093
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q2093
MEDICAL LICENSE
—
Enumeration date
09/08/2017
Last updated
07/21/2022
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