Citydoc Urgent Care Center 2, PLLC
Organization Active NPI Urgent Care Clinic/Center · Dallas, TX
NPI 1003044942 · NPPES record last updated Jun 30, 2009
Key facts
- NPI
- 1003044942
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- CITYDOC URGENT CARE CENTER 2, PLLC
- Practice address
- 5301 Lovers Lane
Dallas, TX 75209 - Phone
- (214) 871-7000
- NPI assigned
- Jun 30, 2009
- Organization subpart
- No
Authorized official
- Name
- Kyle Delp
- Title
- Office Manager
- Phone
- (214) 871-7000
Practitioners 77
-
Karin S Anderson, MD
-
Briana Barnett, FNP-BC
-
Abbie Emery, FNP
-
Ethan William Gingras, NURSE PRACTITIONER
-
Frances J Heard, FNP-C
-
Katharine Paek Leveritt, FNP-C
-
Michael Steven Puhl, FNP
-
Shiwali Rai, MD
-
Eileen Williams, MD
-
Jennifer Elizabeth Wintz, APRN-CNP
-
Sean Copeland, MD
-
Lisa Marie Price, FNP
-
Preethi George, PA-C
-
Paulina Grzyb, P.A.-C
-
Sydnee A Homeyer, PA-C
-
Jennifer Rey Jones, PA-C
-
Gordon Aalund, MD
-
Amber Alred, FNP-C
-
Dalbir Bahga, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1103917 | City Doc Urgent Care Center # 2,PLLC | Certificate of waiver | Aug 19, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110427000050 | TX | Part B Supplier - Clinic/Group Practice | 9638354103 |
Receives reassigned benefits from 77 practitioners Practice locations: Dallas, TX |
National Provider Directory
Locations
5301 W Lovers Ln
Ste 109
Dallas, TX 75209
Phone (214) 352-7800
5301 W Lovers Ln
Dallas, TX 75209
Phone (214) 871-7000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
5301 Lovers Lane
Dallas, TX 75209
Mailing address
5301 Lovers Lane
Dallas, TX 75204
Phone (214) 871-7000
Other names
- Citydoc Urgent Care2 Inwood
Other providers in Dallas, TX
- City of Dallas Environmental & Health Services
- City of Dallas Environmental and Health
- City of University Park
- City Optical LLC
- City Psychiatry PLLC
- Citydoc Urgent Care Center 3, PLLC
- Cityplace Eyecare, PLLC
- Cityscape Schools, Inc.
- Cityscape Transportation LLC
- Citywide Housecalls, LLC
All providers in Dallas, TX · Urgent Care Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.