Healthcare Provider Details

I. General information

NPI: 1194963017
Provider Name (Legal Business Name): WESTFIELD URGENT CARE PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2009
Last Update Date: 01/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 FM 1960 RD E
HOUSTON TX
77073-2404
US

IV. Provider business mailing address

2010 F. M. 1960 RD EAST
HOUSTON TX
77073-2404
US

V. Phone/Fax

Practice location:
  • Phone: 281-821-8200
  • Fax: 281-821-3692
Mailing address:
  • Phone: 281-821-8200
  • Fax: 281-821-3692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberH6188
License Number StateTX

VIII. Authorized Official

Name: DR. KIRK D EDWARDS
Title or Position: PRESIDENT
Credential: MD, FAEP
Phone: 281-821-8200