Provider Demographics
NPI:1336529908
Name:MERIDIAN PHYSICIANS CONSULTING, PLLC
Entity Type:Organization
Organization Name:MERIDIAN PHYSICIANS CONSULTING, PLLC
Other - Org Name:TWIN OAKS URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CUONG
Authorized Official - Middle Name:VAN PHU
Authorized Official - Last Name:PHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-385-3675
Mailing Address - Street 1:1111 S FRIENDSWOOD DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-5094
Mailing Address - Country:US
Mailing Address - Phone:832-385-3675
Mailing Address - Fax:
Practice Address - Street 1:1111 S FRIENDSWOOD DR
Practice Address - Street 2:SUITE 105
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-5094
Practice Address - Country:US
Practice Address - Phone:832-385-3675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-09
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0864261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care