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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