Unknown Individual – Urgent Care Clinic/Center, NPI 1881805554
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2017-06-20. Reason: License revocation, suspension, or surrender.
Urgent Care Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Jack in the Box, West Airport Freeway, Irving, Dallas County, Texas, 75062, United States
IRVING, TX 750153068
Phone: (972) 659-1235
Fax: (972) 665-0148
Type: Mailing
911, North Hampton Road, De Soto, DeSoto, Dallas County, Texas, 75115, United States
SUITE 120
DESOTO, TX 751153903
Phone: (972) 283-0444
Fax: (972) 283-4484
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75015)
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