Provider Demographics
NPI:1114387958
Name:NORTH LOOP MINOR EMERGENCY CARE PLLC
Entity Type:Organization
Organization Name:NORTH LOOP MINOR EMERGENCY CARE PLLC
Other - Org Name:NORTH LOOP MINOR EMERGENCY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SUN
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-346-7538
Mailing Address - Street 1:PO BOX 2333
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77402-2333
Mailing Address - Country:US
Mailing Address - Phone:281-346-7538
Mailing Address - Fax:832-380-2583
Practice Address - Street 1:6219 IRVINGTON BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77022-5951
Practice Address - Country:US
Practice Address - Phone:832-380-2580
Practice Address - Fax:832-380-2583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-04
Last Update Date:2016-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXN3210OtherLICENSE