Healthcare Provider Details

I. General information

NPI: 1740797539
Provider Name (Legal Business Name): BRAESWOOD URGENT CARE AND FAMILY CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2018
Last Update Date: 01/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8622 S BRAESWOOD BLVD
HOUSTON TX
77031-1301
US

IV. Provider business mailing address

8622 S BRAESWOOD BLVD
HOUSTON TX
77031-1301
US

V. Phone/Fax

Practice location:
  • Phone: 281-888-5598
  • Fax: 281-888-5598
Mailing address:
  • Phone: 281-888-5598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number760924
License Number StateTX

VIII. Authorized Official

Name: IRENE TOPPAR
Title or Position: MANAGER
Credential: NP-C
Phone: 281-888-5598