Provider Demographics
NPI:1215457726
Name:EXPECARE, LP
Entity type:Organization
Organization Name:EXPECARE, LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:UMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:SAEED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-477-5164
Mailing Address - Street 1:6407 S COOPER ST STE 117
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76001-5813
Mailing Address - Country:US
Mailing Address - Phone:817-472-7601
Mailing Address - Fax:
Practice Address - Street 1:3909 W PARKER RD STE 104
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-6161
Practice Address - Country:US
Practice Address - Phone:469-609-3062
Practice Address - Fax:972-867-9400
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EXPECARE, LP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-06-26
Last Update Date:2017-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0027XMOtherBCBS OF TX GROUP NUMBER