Provider Demographics
NPI:1134702533
Name:MY RAPIDCLINIC
Entity Type:Organization
Organization Name:MY RAPIDCLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BABATUNDE
Authorized Official - Middle Name:
Authorized Official - Last Name:OTINWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-547-7556
Mailing Address - Street 1:6306 FAIRBANKS N HOUSTON RD STE 500
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-5193
Mailing Address - Country:US
Mailing Address - Phone:832-831-9094
Mailing Address - Fax:
Practice Address - Street 1:4517 KINGWOOD DR
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77345-2621
Practice Address - Country:US
Practice Address - Phone:281-547-7556
Practice Address - Fax:833-379-7446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-03
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center