Provider Demographics
NPI:1407294275
Name:CONVENIENT URGENT CARE PLLC
Entity Type:Organization
Organization Name:CONVENIENT URGENT CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:NASER
Authorized Official - Last Name:MUJEEB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-691-3300
Mailing Address - Street 1:413 W PARKER RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77091-3202
Mailing Address - Country:US
Mailing Address - Phone:713-691-3300
Mailing Address - Fax:713-691-3302
Practice Address - Street 1:413 W PARKER RD STE B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091-3202
Practice Address - Country:US
Practice Address - Phone:713-691-3300
Practice Address - Fax:713-691-3302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-13
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM9517207Q00000X, 261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0032YVOtherBCBSTX
TX308724Medicare PIN