Provider Demographics
NPI:1609370022
Name:AWAAM URGENT CARE CLINIC LLC
Entity Type:Organization
Organization Name:AWAAM URGENT CARE CLINIC LLC
Other - Org Name:AWAAM URGENT CARE CLINIC LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:ABDUL
Authorized Official - Middle Name:
Authorized Official - Last Name:WAHEED
Authorized Official - Suffix:
Authorized Official - Credentials:MSN,FNP,BC
Authorized Official - Phone:832-491-1506
Mailing Address - Street 1:6108 GULFTON ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-2304
Mailing Address - Country:US
Mailing Address - Phone:832-491-1506
Mailing Address - Fax:
Practice Address - Street 1:6110 GULFTON ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-2304
Practice Address - Country:US
Practice Address - Phone:281-857-1608
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-20
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center