Organization Active NPI

Community Urgent Care, LLC

  • Physician Assistant
  • Grand Saline, TX
National Provider Identifier
1699483800
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
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, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.