Provider Demographics
NPI:1982388567
Name:HOME TELE URGENT CARE LLC
Entity type:Organization
Organization Name:HOME TELE URGENT CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SUKHJIT
Authorized Official - Middle Name:
Authorized Official - Last Name:KHARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-202-3375
Mailing Address - Street 1:6227 DUKE TRAIL LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4466
Mailing Address - Country:US
Mailing Address - Phone:281-202-3375
Mailing Address - Fax:
Practice Address - Street 1:1034 REGIONAL PARK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-1117
Practice Address - Country:US
Practice Address - Phone:281-202-3375
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-14
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty