Provider Demographics
NPI:1508391962
Name:LIFELINE URGENT CARE LLC
Entity type:Organization
Organization Name:LIFELINE URGENT CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAVI
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:KALIDINDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-771-1144
Mailing Address - Street 1:13410 BRIAR FOREST DR STE 190
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-2393
Mailing Address - Country:US
Mailing Address - Phone:281-808-7381
Mailing Address - Fax:281-861-8415
Practice Address - Street 1:13410 BRIAR FOREST DR STE 190
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-2393
Practice Address - Country:US
Practice Address - Phone:281-771-1144
Practice Address - Fax:281-771-1146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-24
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care