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

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, MD

Title

Medical Director

Phone

(972) 271-1156

Specialties & licenses 2

Addresses

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
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• 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.