Provider Demographics
NPI:1639736275
Name:PREMIER URGENT CARE, PLLC
Entity Type:Organization
Organization Name:PREMIER URGENT CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AO
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:USMAN
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-857-1052
Mailing Address - Street 1:20212 CHAMPION FOREST DR STE 700-365
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-8780
Mailing Address - Country:US
Mailing Address - Phone:832-391-6871
Mailing Address - Fax:281-781-2560
Practice Address - Street 1:20144 MORTON RD # 202
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-3726
Practice Address - Country:US
Practice Address - Phone:832-391-6871
Practice Address - Fax:281-781-2560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-20
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care