Provider Demographics
NPI: | 1215669809 |
---|---|
Name: | NLUC PLLC DBA NEXT LEVEL URGENT CARE |
Entity type: | Organization |
Organization Name: | NLUC PLLC DBA NEXT LEVEL URGENT CARE |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | JULIET |
Authorized Official - Middle Name: | S |
Authorized Official - Last Name: | BREEZE |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 281-201-0657 |
Mailing Address - Street 1: | 5718 WESTHEIMER RD STE 400 |
Mailing Address - Street 2: | |
Mailing Address - City: | HOUSTON |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 77057-5733 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 281-783-1862 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 11501 N SAM HOUSTON PKWY E |
Practice Address - Street 2: | |
Practice Address - City: | HUMBLE |
Practice Address - State: | TX |
Practice Address - Zip Code: | 77396-4635 |
Practice Address - Country: | US |
Practice Address - Phone: | 281-783-8162 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2022-06-30 |
Last Update Date: | 2024-04-26 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QU0200X | Ambulatory Health Care Facilities | Clinic/Center | Urgent Care |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
TX | K1981 | Other | LICENSE |