MEDICARE: URBAN LINE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	305R00000X	Preferred Provider Organization

General Provider Information

NPI Number	:	1356874622
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	URBAN LINE LLC

Provider Business Mailing Address
First Line	:	2500 WOODLAND PARK DR APT C304
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-2278
Country	:	US
Telephone Number	:	713-714-4425
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 WOODLAND PARK DR APT C304
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-2278
Country	:	US
Telephone Number	:	713-714-4425
Fax Number	:

Authorized Official
Title or Position	:	ADMIN
Name	:	KATE ASAIJE
Credential	:
Telephone Number	:	713-714-4425

Provider Enumeration Date	:	04/04/2017
Last Update Date	:	04/04/2017

Similar Medicare Providers

1588774012 — DR. SHILPA B. TRIVEDI PSY.D.
Practice Location Address:

1415 NORTH LOOP W STE 616
HOUSTON, TX
77008-2278

Practice Phone: 281-451-8112
Practice Fax: 855-271-3371

1841611043 — TRIVEDI PSYCHOLOGICAL SERVICES, LLC
Practice Location Address:

1415 NORTH LOOP W STE 616
HOUSTON, TX
77008-2278

Practice Phone: 281-451-8112
Practice Fax: 855-271-3371

1033093547 — ANGEL I VERANES
Practice Location Address:

1880 S DAIRY ASHFORD RD STE 402
HOUSTON, TX
77077-4781

Practice Phone: 713-581-9198
Practice Fax:

1568314300 — DANIEL UMOH
Practice Location Address:

2323 ELDRIDGE PKWY APT 738
HOUSTON, TX
77077-5263

Practice Phone: 832-820-0137
Practice Fax:

1639985344 — SHYLONDA MILLER
Practice Location Address:

1880 S DAIRY ASHFORD RD STE 207
HOUSTON, TX
77077-4759

Practice Phone: 832-409-7242
Practice Fax:

1538847157 — JOANNIE AGNANT
Practice Location Address:

13977 WESTHEIMER RD
HOUSTON, TX
77077-5387

Practice Phone: 713-360-2980
Practice Fax:

Directions to “URBAN LINE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.