Organization · NPI-2
Alpha Express Primary Care LLC
Family Medicine · Grand Prairie, TX
NPI number1992671184
StatusActive
Last updated in NPPESOct 14, 2025
Details
- NPI
- 1992671184
- Entity type
- Organization (NPI-2)
- Legal business name
- Alpha Express Primary Care LLC
- Organization subpart
- No
- Enumeration date
- Oct 14, 2025
- Certification date
- Oct 14, 2025
- Last updated
- Oct 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 208000000X | Pediatrics | – | – |
Practice location
2626 S Carrier Pkwy Ste 200Grand Prairie, TX 75052-5014
Phone 469-251-8993 · Fax 469-251-8995
Mailing address
2626 S Carrier Pkwy Ste 200Grand Prairie, TX 75052-5014
Phone 469-251-8993 · Fax 469-251-8995
Authorized official
Omolara Abitoye
Ceo
4692518993
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