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Organization
PRIME MEDIC NETWORK PLLC
Active
Organization
PRIME MEDIC NETWORK PLLC
Active
Other names
Prime Medic Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
SREENIVASULU CHERLO MD (OWNER)
(281) 592-8522
Entity
Organization
Contact information
Practice address
19701 KINGWOOD DR, BLDG 10, KINGWOOD, TX 77339-3773
(281) 592-8622
Mailing address
19701 KINGWOOD DR, BLDG 10, KINGWOOD, TX 77339-3773
(281) 592-8622
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111766506
—
TX
Enumeration date
02/12/2017
Last updated
02/12/2017
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