Provider Demographics
NPI:1073070207
Name:PEDIATRIC URGENT CARE OF TEXAS PLLC
Entity Type:Organization
Organization Name:PEDIATRIC URGENT CARE OF TEXAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:FARES
Authorized Official - Last Name:ALBITAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-857-6171
Mailing Address - Street 1:7918 BROADWAY ST STE 108
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-7930
Mailing Address - Country:US
Mailing Address - Phone:281-857-6171
Mailing Address - Fax:281-783-2117
Practice Address - Street 1:508 THIS WAY ST
Practice Address - Street 2:
Practice Address - City:LAKE JACKSON
Practice Address - State:TX
Practice Address - Zip Code:77566-5128
Practice Address - Country:US
Practice Address - Phone:979-705-5007
Practice Address - Fax:281-783-2117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-24
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care