Provider Demographics
NPI:1659502250
Name:NIGHT-LIGHT AFTER HOURS PEDIATRICS PLLC
Entity Type:Organization
Organization Name:NIGHT-LIGHT AFTER HOURS PEDIATRICS PLLC
Other - Org Name:NIGHTLIGHT PEDIATRIC URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/ MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANASTASIA
Authorized Official - Middle Name:LORRAINE
Authorized Official - Last Name:GENTLES
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:281-325-1010
Mailing Address - Street 1:19708 NORTHWEST FREEWAY
Mailing Address - Street 2:SUITE 500
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065
Mailing Address - Country:US
Mailing Address - Phone:713-957-2020
Mailing Address - Fax:281-325-1060
Practice Address - Street 1:15551 SOUTHWEST FWY
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3830
Practice Address - Country:US
Practice Address - Phone:281-325-1010
Practice Address - Fax:281-325-1060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care