Provider Demographics
NPI:1437202140
Name:TEXAS URGENT CARE-SOUTHWEST
Entity Type:Organization
Organization Name:TEXAS URGENT CARE-SOUTHWEST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-416-9966
Mailing Address - Street 1:PO BOX 1529
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77487-1529
Mailing Address - Country:US
Mailing Address - Phone:713-783-8181
Mailing Address - Fax:713-783-1831
Practice Address - Street 1:6892 SOUTHWEST FWY STE A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2108
Practice Address - Country:US
Practice Address - Phone:713-783-8181
Practice Address - Fax:713-783-1831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization