Organization Active NPI

Cooper Street Urgent Care LLC

  • Urgent Care Clinic/Center
  • Arlington, TX
National Provider Identifier
1730957879
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
COOPER STREET URGENT CARE LLC
Doing business as
Cooper Street Urgent Care LLC
Practice address
6407 S Cooper St Ste 117
Arlington, TX 76001-5813
Phone
(469) 482-0861
Fax
(469) 273-1720
NPI assigned
Dec 18, 2023
Last updated
Dec 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Authorized official

Name
Mr. Ahmed Shuja
Title
Owner
Phone
(469) 257-3500

Specialties & licenses 1

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

Addresses

Primary practice location

6407 S Cooper St Ste 117
Arlington, TX 76001-5813

Mailing address

PO Box 941805
Plano, TX 75094-1805
Phone (469) 482-0861

Other names 1

  • COOPER STREET URGENT CARE LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1730957879",
    "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": "6407 S COOPER ST STE 117",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760015813",
            "telephone_number": "469-482-0861",
            "fax_number": "469-273-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER STREET URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "SHUJA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-257-3500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COOPER STREET URGENT CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.