Healthcare Provider Details

I. General information

NPI: 1417671017
Provider Name (Legal Business Name): PATIENT FIRST MINOR EMERGENCY ROOM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2022
Last Update Date: 09/28/2022
Certification Date: 09/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3391 WESTPARK DR
HOUSTON TX
77005-4262
US

IV. Provider business mailing address

3391 WESTPARK DR
HOUSTON TX
77005-4262
US

V. Phone/Fax

Practice location:
  • Phone: 832-667-8131
  • Fax: 855-219-1798
Mailing address:
  • Phone: 832-667-8131
  • Fax: 855-219-1798

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. RAHUL DHAWAN
Title or Position: CEO
Credential:
Phone: 832-667-8132