Healthcare Provider Details

I. General information

NPI: 1992208433
Provider Name (Legal Business Name): SPRING FAMILY URGENT CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2018
Last Update Date: 03/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20635 KUYKENDAHL RD
SPRING TX
77379-3533
US

IV. Provider business mailing address

20635 KUYKENDAHL RD
SPRING TX
77379-3533
US

V. Phone/Fax

Practice location:
  • Phone: 832-844-3746
  • Fax:
Mailing address:
  • Phone: 832-844-3746
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberL2349
License Number StateTX

VIII. Authorized Official

Name: NADEEM JAMIL
Title or Position: PHYSICIAN
Credential: MD
Phone: 936-273-2016