Healthcare Provider Details

I. General information

NPI: 1649910167
Provider Name (Legal Business Name): NLUC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2022
Last Update Date: 04/26/2024
Certification Date: 04/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6342 PHELAN BLVD
BEAUMONT TX
77706-6150
US

IV. Provider business mailing address

5718 WESTHEIMER RD STE 400
HOUSTON TX
77057-5733
US

V. Phone/Fax

Practice location:
  • Phone: 281-783-8162
  • Fax:
Mailing address:
  • Phone: 281-783-1862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JULIET S BREEZE
Title or Position: CEO
Credential:
Phone: 281-201-0657