# MT HOUSTON URGENT CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346363686
- **Authorized official:** MS. SANDRA ANN SHIRAH ADMINISTRATOR (CREDENTIALING SUPERVISOR)
- **Authorized official phone:** (281) 646-1935

## Contact information

- **Practice address:** 11753 W BELLFORT ST, STE 100, STAFFORD, TX 77477-1327
- **Practice address phone:** (281) 495-1178
- **Practice address fax:** (281) 646-0927
- **Mailing address:** 11753 W BELLFORT ST, STE 100, STAFFORD, TX 77477-1327
- **Mailing address phone:** (281) 495-1178
- **Mailing address fax:** (281) 646-0927

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 146N00000X | Basic Emergency Medical Technician | G9083 | TX | Yes |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 11/13/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0052LX | BCBS GROUP ID | TX |