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Organization
PEDIATRIC URGENT CARE PA
Active
Organization
PEDIATRIC URGENT CARE PA
Active
Other names
Urgent Care for Kids
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN WHITE (OFFICE MANAGER)
(214) 729-5600
Entity
Organization
Contact information
Practice address
1640 LAKE WOODLANDS DR, SUITE E, THE WOODLANDS, TX 77380-3276
(214) 729-5600
Mailing address
1701 RIVER RUN STE 302, FORT WORTH, TX 76107-6547
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261Q00000X
Clinic/Center
H3835
TX
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
334442604
—
TX
05
—
334442605
—
TX
05
—
344911801
—
TX
05
—
344917501
—
TX
05
—
345142901
—
TX
05
—
345650101
—
TX
05
—
345871301
—
TX
05
—
345988501
—
TX
05
—
346449201
—
TX
Enumeration date
06/05/2011
Last updated
06/03/2022
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