Provider Demographics
NPI:1477098259
Name:NLUC PLLC
Entity Type:Organization
Organization Name:NLUC PLLC
Other - Org Name:NEXT LEVEL URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JULIET
Authorized Official - Middle Name:STACY
Authorized Official - Last Name:BREEZE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-201-0657
Mailing Address - Street 1:5718 WESTHEIMER RD STE 400
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-5733
Mailing Address - Country:US
Mailing Address - Phone:281-783-8162
Mailing Address - Fax:281-439-7995
Practice Address - Street 1:5749 SAN FELIPE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-3101
Practice Address - Country:US
Practice Address - Phone:281-783-8162
Practice Address - Fax:281-439-7995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-03
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX323378501Medicaid
TX284797Medicare PIN