Provider Demographics
NPI:1962995266
Name:NIGHT-LIGHT AFTER HOURS PEDIATRICS PLLC
Entity type:Organization
Organization Name:NIGHT-LIGHT AFTER HOURS PEDIATRICS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ZAWADI
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-325-1010
Mailing Address - Street 1:22720 MORTON RANCH RD STE 150
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-2155
Mailing Address - Country:US
Mailing Address - Phone:832-321-5848
Mailing Address - Fax:281-325-1060
Practice Address - Street 1:22720 MORTON RANCH RD STE 150
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-2155
Practice Address - Country:US
Practice Address - Phone:832-321-5848
Practice Address - Fax:281-325-1060
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NIGHT-LIGHT AFTER HOURS PEDIATRICS PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-06-11
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care