Provider Demographics
NPI:1639440894
Name:MEDCURE URGENT CARE
Entity Type:Organization
Organization Name:MEDCURE URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAZMUDIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KESHWANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-498-7727
Mailing Address - Street 1:11226 SOUTHWEST FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77031-3604
Mailing Address - Country:US
Mailing Address - Phone:281-498-7727
Mailing Address - Fax:832-934-1161
Practice Address - Street 1:11226 SOUTHWEST FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77031-3604
Practice Address - Country:US
Practice Address - Phone:281-498-7727
Practice Address - Fax:832-934-1161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-19
Last Update Date:2012-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG1936261QE0002X, 261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG1936OtherMEDICAL LICENSE