Provider Demographics
NPI:1598182420
Name:VIP HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:VIP HEALTH SERVICES LLC
Other - Org Name:MONT BELVIEW URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HAMIDREZA
Authorized Official - Middle Name:
Authorized Official - Last Name:IRANMANESH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-360-7502
Mailing Address - Street 1:2601 W LAKE HOUSTON PKWY
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-5222
Mailing Address - Country:US
Mailing Address - Phone:281-360-7502
Mailing Address - Fax:281-360-0587
Practice Address - Street 1:9235 N HIGHWAY 146 STE 3
Practice Address - Street 2:
Practice Address - City:MONT BELVIEU
Practice Address - State:TX
Practice Address - Zip Code:77523-9503
Practice Address - Country:US
Practice Address - Phone:281-360-7502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VIP HEALTH SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-03-28
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty