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NPI 1124653688

NPI 1124653688 : CONVENIENT URGENT CARE PLLC : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1124653688
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    Entity Type          |    Organization 
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    Legal Business Name  |    CONVENIENT URGENT CARE PLLC 
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Dates
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    Enumeration Date     |    03/05/2020
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    Last Update Date     |    03/05/2020
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Provider Practice Location Address
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    Address Line         |    413 W PARKER RD SUITE B
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77091
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    Country              |    US
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    Telephone            |    713-691-3300
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    Fax                  |    713-691-3302
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Provider Business Mailing Address
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    Address Line         |    PO BOX 38041 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77238-8041
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    Country              |    US
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    Telephone            |    713-691-3300
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    Fax                  |    713-691-3302
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     AIJAZ MAHDI SYED 
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    Credential           |    
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    Telephone            |    832-978-6098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QU0200X
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    Taxonomy Name        |    Urgent Care Clinic/Center
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    License Number       |    
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    License Number State |    
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