Provider Demographics
NPI:1962750612
Name:EXPECARE,LP
Entity type:Organization
Organization Name:EXPECARE,LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
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 1:769 BANDIT TRL
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-0111
Mailing Address - Country:US
Mailing Address - Phone:817-472-7601
Mailing Address - Fax:817-472-7213
Practice Address - Street 1:769 BANDIT TRL
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-0111
Practice Address - Country:US
Practice Address - Phone:817-472-7601
Practice Address - Fax:817-472-7213
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EXPECARE, LP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-08-28
Last Update Date:2017-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB153076Medicare PIN