Provider Demographics
NPI:1033570106
Name:ANGELS WALK-IN CLINIC
Entity Type:Organization
Organization Name:ANGELS WALK-IN CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:OSEI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-344-1091
Mailing Address - Street 1:19003 SPRING MEADOWS LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3821
Mailing Address - Country:US
Mailing Address - Phone:281-344-1091
Mailing Address - Fax:281-344-9818
Practice Address - Street 1:19003 SPRING MEADOWS LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-3821
Practice Address - Country:US
Practice Address - Phone:281-344-1091
Practice Address - Fax:281-344-9818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-16
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service