Provider Demographics
NPI:1508391962
Name:LIFELINE URGENT CARE LLC
Entity Type:Organization
Organization Name:LIFELINE URGENT CARE LLC
Other - Org Name:TOWER MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUCERO
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-417-7863
Mailing Address - Street 1:13410 BRIAR FOREST DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-2391
Mailing Address - Country:US
Mailing Address - Phone:281-808-7381
Mailing Address - Fax:281-861-8415
Practice Address - Street 1:13410 BRIAR FOREST DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-2391
Practice Address - Country:US
Practice Address - Phone:281-808-7381
Practice Address - Fax:281-861-8415
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIFELINE URGENT CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-04-24
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care