Organization Active NPI

Vitalsfusion Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Allen, TX
National Provider Identifier
1417605478
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
VITALSFUSION URGENT CARE PLLC
Practice address
940 W Stacy Rd Ste 110
Allen, TX 75013-5215
Phone
(773) 710-8081
NPI assigned
Mar 17, 2022
Last updated
Mar 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Authorized official

Name
Fakhrudin A Mohamed, MD
Title
Owner
Phone
(773) 710-8081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

940 W Stacy Rd Ste 110
Allen, TX 75013-5215

Mailing address

940 W Stacy Rd Ste 110
Allen, TX 75013-5215
Phone (773) 710-8081

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1417605478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 W STACY RD STE 110",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135215",
            "telephone_number": "773-710-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 W STACY RD STE 110",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135215",
            "telephone_number": "773-710-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALSFUSION URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "FAKHRUDIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-710-8081",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.