Provider Demographics
NPI:1366860454
Name:NIGHTLIGHT AFTER HOURS PEDIATRICS PLLC
Entity Type:Organization
Organization Name:NIGHTLIGHT AFTER HOURS PEDIATRICS PLLC
Other - Org Name:NIGHTLIGHT PEDIATRIC URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZAWADI
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-779-8155
Mailing Address - Street 1:2803 BUSINESS CENTER DR
Mailing Address - Street 2:SUITE 118
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-2193
Mailing Address - Country:US
Mailing Address - Phone:281-990-3030
Mailing Address - Fax:281-325-1010
Practice Address - Street 1:15551 SOUTHWEST FWY
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3830
Practice Address - Country:US
Practice Address - Phone:281-325-1010
Practice Address - Fax:281-325-1060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-04
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care