Provider Demographics
NPI:1326423351
Name:DOWLEN URGENT CARE PLLC
Entity Type:Organization
Organization Name:DOWLEN URGENT CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAMA
Authorized Official - Middle Name:PARVEEN
Authorized Official - Last Name:QURAISHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-781-2015
Mailing Address - Street 1:2342 DOWLEN RD
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-2537
Mailing Address - Country:US
Mailing Address - Phone:409-781-3698
Mailing Address - Fax:409-225-5930
Practice Address - Street 1:2342 DOWLEN RD
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-2537
Practice Address - Country:US
Practice Address - Phone:409-781-3698
Practice Address - Fax:409-225-5930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-20
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1627261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care