Provider Demographics
NPI:1558941229
Name:URGENTHEALTHTX
Entity Type:Organization
Organization Name:URGENTHEALTHTX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AFSHEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MASOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-236-5262
Mailing Address - Street 1:104 LAKEHOUSE LANDING DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-3702
Mailing Address - Country:US
Mailing Address - Phone:856-236-5262
Mailing Address - Fax:888-727-0593
Practice Address - Street 1:104 LAKEHOUSE LANDING DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-3702
Practice Address - Country:US
Practice Address - Phone:856-236-5262
Practice Address - Fax:888-727-0593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty