Provider Demographics
NPI:1871819052
Name:MEDADMIN ASSOCIATES, LLC
Entity Type:Organization
Organization Name:MEDADMIN ASSOCIATES, LLC
Other - Org Name:PRIME URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NIHARIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHRA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:713-340-3111
Mailing Address - Street 1:9002 CHIMNEY ROCK RD # G-129
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-2598
Mailing Address - Country:US
Mailing Address - Phone:713-340-3111
Mailing Address - Fax:
Practice Address - Street 1:2510 SMITH RANCH RD
Practice Address - Street 2:SUITE 102
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-5208
Practice Address - Country:US
Practice Address - Phone:713-340-3111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-14
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX218086101Medicaid
TX218086101Medicaid