Healthcare Provider Details
I. General information
NPI: 1013664341
Provider Name (Legal Business Name): NEXT LEVEL MV LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/07/2022
Last Update Date: 05/02/2024
Certification Date: 05/02/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7315 FAIRMONT PKWY STE 110
PASADENA TX
77505-4618
US
IV. Provider business mailing address
5718 WESTHEIMER RD STE 1800
HOUSTON TX
77057-5773
US
V. Phone/Fax
- Phone: 281-783-8162
- Fax:
- Phone: 281-783-8162
- 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