Provider Demographics
NPI:1558056895
Name:MONTGOMERY RAPIDCARE ER LLC
Entity Type:Organization
Organization Name:MONTGOMERY RAPIDCARE ER LLC
Other - Org Name:RAPIDCARE EMERGENCY ROOM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:HUMAIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:QURESHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-712-8033
Mailing Address - Street 1:2014 WENTWORTH ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-6084
Mailing Address - Country:US
Mailing Address - Phone:346-318-1506
Mailing Address - Fax:
Practice Address - Street 1:18057 HIGHWAY 105 W STE 220
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77356-5985
Practice Address - Country:US
Practice Address - Phone:346-318-1506
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-11
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care