Healthcare Provider Details

I. General information

NPI: 1518209113
Provider Name (Legal Business Name): NLUC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2013
Last Update Date: 04/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16902 SOUTHWEST FREEWAY SUITE 108
SUGAR LAND TX
77479-2350
US

IV. Provider business mailing address

16107 KENSINGTON DR SUITE 126
SUGAR LAND TX
77479-4224
US

V. Phone/Fax

Practice location:
  • Phone: 281-201-0657
  • Fax: 281-336-0764
Mailing address:
  • Phone: 281-201-0657
  • Fax: 281-336-0764

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JULIET S BREEZE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: M.D.
Phone: 281-201-0657