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General NPI Number Information
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NPI Number | 1215757125
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Entity Type | Organization
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Legal Business Name | URGENT CARE FAMILY CLINIC
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 566 CYPRESS CREEK PKWY STE B
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City | HOUSTON
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State | TX
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Zip | 77090-3044
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Country | US
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Telephone | 832-867-2842
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Fax |
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Provider Business Mailing Address
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Address Line | 566 CYPRESS CREEK PKWY STE B
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City | HOUSTON
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State | TX
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Zip | 77090-3044
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Country | US
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Telephone | 832-867-2842
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | LAZARO ROCHE
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Credential | NURSE PRACTITIONER
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Telephone | 832-867-2842
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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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