Provider Demographics
NPI:1164464954
Name:KATY URGENT CARE PARTNERS, LP
Entity Type:Organization
Organization Name:KATY URGENT CARE PARTNERS, LP
Other - Org Name:KATY URGENT CARE CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:GIBBS
Authorized Official - Last Name:GEE
Authorized Official - Suffix:JR
Authorized Official - Credentials:MBA
Authorized Official - Phone:281-578-4909
Mailing Address - Street 1:21700 KINGSLAND BLVD
Mailing Address - Street 2:STE. 104
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2513
Mailing Address - Country:US
Mailing Address - Phone:281-829-6570
Mailing Address - Fax:281-398-1602
Practice Address - Street 1:21700 KINGSLAND BLVD
Practice Address - Street 2:STE. 104
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2513
Practice Address - Country:US
Practice Address - Phone:281-829-6570
Practice Address - Fax:281-398-1602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00905ZMedicare PIN