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Organization
URBAN HEALTHCARE, LLC
Active
Organization
URBAN HEALTHCARE, LLC
Active
Other names
Santa Clara Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JASON T URTIS (MANAGER)
(713) 923-2273
Entity
Organization
Contact information
Practice address
5616 LAWNDALE ST, SUITE A-203, HOUSTON, TX 77023-3840
(713) 923-2273
(713) 923-2276
Mailing address
2837 CLINTON DR, HOUSTON, TX 77020-8401
(713) 923-2273
(713) 923-2276
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011RB
BCBS
TX
05
—
192241101
—
TX
05
—
192241102
—
TX
Enumeration date
12/13/2007
Last updated
07/02/2008
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