Healthcare Provider Details

I. General information

NPI: 1366890725
Provider Name (Legal Business Name): PASADENA URGENCY CENTER LLC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2016
Last Update Date: 12/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5161 E SAM HOUSTON PKWY S
PASADENA TX
77505-3915
US

IV. Provider business mailing address

6800 WEST LOOP S SUITE 300
BELLAIRE TX
77401-4528
US

V. Phone/Fax

Practice location:
  • Phone: 713-838-0800
  • Fax:
Mailing address:
  • Phone: 713-838-0800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. KELLY LARKIN
Title or Position: CEO/PRESIDENT
Credential: MD
Phone: 713-838-0800