NPIMap

Organization Active NPI

Southlake Doctors Express, PA PSC

Doing business as AFC Urgent Care

  • Urgent Care Clinic/Center
  • Southlake, TX
National Provider Identifier
1942519335
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SOUTHLAKE DOCTORS EXPRESS, PA PSC
Doing business as
AFC Urgent Care
Practice address
2315 E Southlake Blvd
Suite 110
Southlake, TX 76092-6691
Phone
(817) 488-9922
Fax
(817) 488-8917
NPI assigned
Oct 1, 2010
Last updated
Apr 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Authorized official

Name
Mr. Justin M. Rains, JD
Title
Ceo
Phone
(817) 488-9922

Specialties & licenses 1

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

Addresses

Primary practice location

2315 E Southlake Blvd
Suite 110
Southlake, TX 76092-6691

Mailing address

2315 E Southlake Blvd
Suite110
Southlake, TX 76092-6691
Phone (817) 488-9922

Other names 1

  • AFC Urgent Care Doing business as

National Provider Directory

National Provider Directory

Locations

2315 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (817) 488-9922

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 343

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 343

NPI Registry JSON

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1942519335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 E SOUTHLAKE BLVD",
            "address_2": "SUITE110",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926691",
            "telephone_number": "817-488-9922",
            "fax_number": "817-488-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E SOUTHLAKE BLVD",
            "address_2": "SUITE 110",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926691",
            "telephone_number": "817-488-9922",
            "fax_number": "817-488-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAKE DOCTORS EXPRESS, PA PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "RAINS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-488-9922",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFC Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AFC Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.