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: 06/15/2021
Certification Date: 06/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3339 FAIRVIEW ST
PASADENA TX
77504-1903
US

IV. Provider business mailing address

702 OLD OYSTER TRL
SUGAR LAND TX
77478-4498
US

V. Phone/Fax

Practice location:
  • Phone: 281-300-0836
  • Fax:
Mailing address:
  • Phone: 281-300-0836
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. RENE MAI
Title or Position: CO-OWNER
Credential: MD
Phone: 281-300-0836