Organization
1ST CLASS URGENT CARE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH B TAIWO M.D. (MEDICAL DIRECTOR)
(214) 383-1700
Entity
Organization
Contact information
Practice address
1811 E BETHANY DR, ALLEN, TX 75002-1882
(214) 383-1700
(214) 383-7166
Mailing address
PO BOX 1485, ALLEN, TX 75013-0024
(214) 383-1700
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026XV
BCBS OF TEXAS
TX
01
—
0026XV
BCBS OF TEXAS
—
Enumeration date
05/22/2012
Last updated
06/03/2022
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