Healthcare Provider Details
I. General information
NPI: 1013965797
Provider Name (Legal Business Name): EXCEL URGENT CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/04/2006
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
25402 NORTHWEST FWY STE 101
CYPRESS TX
77429-8685
US
IV. Provider business mailing address
25402 NORTHWEST FWY STE 101
CYPRESS TX
77429-8685
US
V. Phone/Fax
- Phone: 281-304-1100
- Fax: 281-256-0205
- Phone: 281-304-1100
- Fax: 281-256-0205
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | H7344 |
| License Number State | TX |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | L0887 |
| License Number State | TX |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | H7344 |
| License Number State | TX |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | L0887 |
| License Number State | TX |
VIII. Authorized Official
Name: DR.
CHRISTOPHER
O
OGUNRO
Title or Position: OWNER/CEO
Credential: MD
Phone: 281-304-1100