Healthcare Provider Details
I. General information
NPI: 1609501709
Provider Name (Legal Business Name): NLUC PLLC DBA NEXT LEVEL URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/21/2022
Last Update Date: 07/21/2022
Certification Date: 07/21/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1900 MAIN ST
HOUSTON TX
77002-8130
US
IV. Provider business mailing address
1900 MAIN ST
HOUSTON TX
77002-8130
US
V. Phone/Fax
- Phone: 281-783-8162
- Fax:
- Phone:
- Fax:
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 | |
VIII. Authorized Official
Name:
JULIET
S
BREEZE
Title or Position: CEO
Credential:
Phone: 281-201-0657