Provider Demographics
NPI:1831645787
Name:PRONTO MEDICAL CARE PLLC
Entity Type:Organization
Organization Name:PRONTO MEDICAL CARE PLLC
Other - Org Name:PRONTO MEDICAL CARE PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:TARIQ
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-460-4488
Mailing Address - Street 1:1619 MEADOWSWEET DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4082
Mailing Address - Country:US
Mailing Address - Phone:832-460-4488
Mailing Address - Fax:866-777-8553
Practice Address - Street 1:303 SEQUOIA DR
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904-3657
Practice Address - Country:US
Practice Address - Phone:832-460-4488
Practice Address - Fax:866-777-8553
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRONTO MEDICAL CARE PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ3698207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX207R00000XOtherTAXONOMY
TXQ3698Medicaid
TXQ3698Medicare PIN