Organization Active NPI

Sree-Doc Urgent Care Management LLC

  • General Practice Physician
  • Irving, TX
National Provider Identifier
1275914640
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
P7542 Issued in TX
Legal business name
SREE-DOC URGENT CARE MANAGEMENT LLC
Practice address
8787 N Macarthur Blvd
Suite No 120 B
Irving, TX 75063-5446
Phone
(864) 884-5166
NPI assigned
Jun 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Authorized official

Name
Madhu S Potla, MD
Title
Administrator
Phone
(864) 884-5166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X P7542 TX Primary

Addresses

Primary practice location

8787 N Macarthur Blvd
Suite No 120 B
Irving, TX 75063-5446

Mailing address

8787 N Macarthur Blvd
Suite No 120 B
Irving, TX 75063-5446
Phone (864) 884-5166

Other names 1

  • MACARTHUR URGENT & FAMILY CARE Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2100916Macarthur Urgent & Family Care8787 N Macarthur Blvd, Suite 120-B, Irving, TX 75063Certificate of waiverAug 24, 2027

National Provider Directory

National Provider Directory

Locations

8787 N MacArthur Blvd
Ste 120B
Irving, TX 75063
Phone (864) 884-5116

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1275914640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8787 N MACARTHUR BLVD",
            "address_2": "SUITE NO 120 B",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750635446",
            "telephone_number": "864-884-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8787 N MACARTHUR BLVD",
            "address_2": "SUITE NO 120 B",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750635446",
            "telephone_number": "864-884-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SREE-DOC URGENT CARE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "POTLA",
        "authorized_official_first_name": "MADHU",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "864-884-5166",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "P7542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MACARTHUR URGENT & FAMILY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.