Provider Demographics
NPI:1043947955
Name:COLUMBUS URGENT CARE PA
Entity Type:Organization
Organization Name:COLUMBUS URGENT CARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:ABDUR
Authorized Official - Middle Name:
Authorized Official - Last Name:RAUF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-893-6214
Mailing Address - Street 1:804 W DALLAS ST
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77301-2248
Mailing Address - Country:US
Mailing Address - Phone:936-494-0865
Mailing Address - Fax:936-494-0057
Practice Address - Street 1:804 W DALLAS ST
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-2248
Practice Address - Country:US
Practice Address - Phone:936-494-0865
Practice Address - Fax:936-494-0057
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COLUMBUS URGENT CARE PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-02
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center