Healthcare Provider Details

I. General information

NPI: 1528645645
Provider Name (Legal Business Name): LITTLE PANDAS PEDIATRIC URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11709 S SAM HOUSTON PKWY E STE 12
HOUSTON TX
77089-4764
US

IV. Provider business mailing address

11709 S SAM HOUSTON PKWY E STE 12
HOUSTON TX
77089-4764
US

V. Phone/Fax

Practice location:
  • Phone: 346-802-2093
  • Fax: 281-974-3568
Mailing address:
  • Phone: 346-802-2093
  • Fax: 281-974-3568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: RENE ALFONS MAI
Title or Position: OWNER & PHYSICIAN
Credential: MD
Phone: 346-802-2093