Provider Demographics
NPI:1790009611
Name:DESERT PALM HEALTHCARE
Entity Type:Organization
Organization Name:DESERT PALM HEALTHCARE
Other - Org Name:SOUTHWEST URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BAKER
Authorized Official - Middle Name:
Authorized Official - Last Name:NIAZI
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:713-828-5495
Mailing Address - Street 1:19875 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-6721
Mailing Address - Country:US
Mailing Address - Phone:281-545-2323
Mailing Address - Fax:281-545-2317
Practice Address - Street 1:19875 SOUTHWEST FWY
Practice Address - Street 2:SUITE 100
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-6721
Practice Address - Country:US
Practice Address - Phone:281-545-2323
Practice Address - Fax:281-545-2317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-22
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care