Provider Demographics
NPI:1932803210
Name:APEX URGENT CARE CLINIC ELDRIDGE
Entity Type:Organization
Organization Name:APEX URGENT CARE CLINIC ELDRIDGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRANDA
Authorized Official - Suffix:
Authorized Official - Credentials:MANAGER
Authorized Official - Phone:832-588-0627
Mailing Address - Street 1:1398 ELDRIDGE PKWY STE 113
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-2548
Mailing Address - Country:US
Mailing Address - Phone:346-576-8155
Mailing Address - Fax:
Practice Address - Street 1:1398 ELDRIDGE PKWY STE 113
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-2548
Practice Address - Country:US
Practice Address - Phone:346-576-8155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty