Raypha Urgent Care & Clinics

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

N4380 Issued in TX

Legal business name

RAYPHA URGENT CARE & CLINICS

Practice address

3334 Broadway Blvd
422
Garland, TX 75043-1585

Phone

(972) 271-1156

Fax

(972) 271-1691

NPI assigned

Sep 25, 2012

Last updated

Oct 23, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Rakiya Engo Diallo, MDNPI 1063524049

Title

Medical Director

Phone

(972) 271-1156

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rakiya Engo Diallo, MD

  • Multi-Specialty Clinic/Center
  • Garland, TX
  • NPI 1063524049
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1043561434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 BROADWAY BLVD",
            "address_2": "422",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431585",
            "telephone_number": "972-271-1156",
            "fax_number": "972-271-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3334 BROADWAY BLVD",
            "address_2": "422",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431585",
            "telephone_number": "972-271-1156",
            "fax_number": "972-271-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYPHA URGENT CARE & CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "DIALLO",
        "authorized_official_first_name": "RAKIYA",
        "authorized_official_middle_name": "ENGO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "972-271-1156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "N4380",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": "N4380",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Garland, TX
• Providers in Garland, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.