Active NPI
Community Urgent Care, LLC
- Physician Assistant
- Grand Saline, TX
National Provider Identifier
1699483800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Legal business name
- COMMUNITY URGENT CARE, LLC
- Doing business as
- Grand Saline Primary Care Clinic
- Practice address
- 749 N Waldrip St
Grand Saline, TX 75140-1555 - Phone
- (281) 826-9974
- Fax
- (832) 698-4047
- NPI assigned
- Nov 8, 2022
- Organization subpart
- Yes
- Parent organization
- COMMUNITY URGENT CARE, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ahmed Shuja
- Title
- Managing Member
- Phone
- (281) 826-9974
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
749 N Waldrip St
Grand Saline, TX 75140-1555
Mailing address
PO Box 941805
Plano, TX 75094-1805
Phone (469) 482-0861
Other names 1
- Grand Saline Primary Care Clinic
National Provider Directory
National Provider Directory- Part of
- Community Urgent Care LLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Family Medicine Physician
- Arlington, TX
- NPI 1326433376
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Plano, TX
- NPI 1134295843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695772800000",
"number": "1699483800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 941805",
"city": "PLANO",
"state": "TX",
"postal_code": "750941805",
"telephone_number": "469-482-0861",
"fax_number": "469-273-1720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "749 N WALDRIP ST",
"city": "GRAND SALINE",
"state": "TX",
"postal_code": "751401555",
"telephone_number": "281-826-9974",
"fax_number": "832-698-4047"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY URGENT CARE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COMMUNITY URGENT CARE, LLC",
"enumeration_date": "2022-11-08",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A",
"authorized_official_last_name": "SHUJA",
"authorized_official_first_name": "AHMED",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "281-826-9974"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Grand Saline Primary Care Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Grand Saline Primary Care Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grand Saline, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.