Provider Demographics
NPI:1386049096
Name:TEXAS CHILDREN'S URGENT CARE
Entity type:Organization
Organization Name:TEXAS CHILDREN'S URGENT CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROVIDER RELATIONS REPRESENTATIVE
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-824-6631
Mailing Address - Street 1:1919 S BRAESWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4444
Mailing Address - Country:US
Mailing Address - Phone:281-789-6300
Mailing Address - Fax:
Practice Address - Street 1:9727 SPRING GREEN BLVD
Practice Address - Street 2:SUITE 900
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-4138
Practice Address - Country:US
Practice Address - Phone:281-789-6300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-24
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty