Provider Demographics
NPI:1063680288
Name:DOCTORS URGENT CARE CLINIC PA
Entity Type:Organization
Organization Name:DOCTORS URGENT CARE CLINIC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BHARAT
Authorized Official - Middle Name:B
Authorized Official - Last Name:LATTHE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-460-2171
Mailing Address - Street 1:3845 FM 1960 RD W
Mailing Address - Street 2:STE 340
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-3531
Mailing Address - Country:US
Mailing Address - Phone:281-460-2171
Mailing Address - Fax:
Practice Address - Street 1:18939 MCKAY BLVD
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-5712
Practice Address - Country:US
Practice Address - Phone:281-460-2171
Practice Address - Fax:281-580-0086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty