Provider Demographics
NPI:1821486531
Name:NIGHT-LIGHT AFTER HOURS PEDIATRICS PLLC
Entity Type:Organization
Organization Name:NIGHT-LIGHT AFTER HOURS PEDIATRICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:ZAWADI
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-325-1010
Mailing Address - Street 1:20440 HIGHWAY 59 N
Mailing Address - Street 2:SUITE 500
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338
Mailing Address - Country:US
Mailing Address - Phone:832-602-4040
Mailing Address - Fax:281-325-1060
Practice Address - Street 1:20440 HIGHWAY 59 N
Practice Address - Street 2:SUITE 500
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338
Practice Address - Country:US
Practice Address - Phone:832-602-4040
Practice Address - Fax:281-325-1060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-05
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care