Provider Demographics
NPI:1942095534
Name:GOCARE WALK-IN AND EXPRESS VIRTUAL CLINIC
Entity type:Organization
Organization Name:GOCARE WALK-IN AND EXPRESS VIRTUAL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:ONYEKA
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:281-932-8554
Mailing Address - Street 1:12866 NIDD AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79928-5903
Mailing Address - Country:US
Mailing Address - Phone:281-932-8554
Mailing Address - Fax:
Practice Address - Street 1:12866 NIDD AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79928-5903
Practice Address - Country:US
Practice Address - Phone:281-932-8554
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center