Provider Demographics
NPI:1063008084
Name:RIGHT STEP MEDICAL CENTER LLC
Entity Type:Organization
Organization Name:RIGHT STEP MEDICAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOBI
Authorized Official - Middle Name:
Authorized Official - Last Name:PONRAJ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-893-6214
Mailing Address - Street 1:6414 DIAMANTINA CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-7984
Mailing Address - Country:US
Mailing Address - Phone:281-650-3834
Mailing Address - Fax:
Practice Address - Street 1:11925 SOUTHWEST FWY STE 12
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-2300
Practice Address - Country:US
Practice Address - Phone:281-741-9145
Practice Address - Fax:832-230-0875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-14
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty