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) 592-8622
Entity
Organization
Contact information
Practice address
211 S COLLEGE AVE, CLEVELAND, TX 77327-4503
(281) 592-8622
(281) 592-8699
Mailing address
PO BOX 5999, KINGWOOD, TX 77325-5999
(281) 592-8622
(281) 592-8699
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111766506
—
TX
Enumeration date
10/11/2016
Last updated
10/11/2016
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