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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