Provider Demographics
NPI:1154701449
Name:FAST AND URGENT CARE MDPA
Entity type:Organization
Organization Name:FAST AND URGENT CARE MDPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NOAH
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-592-9500
Mailing Address - Street 1:7701 W BELLFORT ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-2104
Mailing Address - Country:US
Mailing Address - Phone:713-592-9500
Mailing Address - Fax:888-776-9171
Practice Address - Street 1:7701 W BELLFORT ST
Practice Address - Street 2:SUITE B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-2104
Practice Address - Country:US
Practice Address - Phone:713-592-9500
Practice Address - Fax:888-776-9171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-02
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care