Organization
PEDIATRIC IMMEDIATE CARE OF TEXAS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMI SUNALLAH MD (OWNER)
(281) 515-2643
Entity
Organization
Contact information
Practice address
3831 E LEAGUE CITY PKWY, SUITE A, LEAGUE CITY, TX 77573-7155
(281) 515-2643
Mailing address
3831 E LEAGUE CITY PKWY, SUITE A, LEAGUE CITY, TX 77573-7155
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
—
—
Other
Enumeration date
11/09/2016
Last updated
02/24/2022
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