NPI Code Details Logo

NPI 1376498964

NPI 1376498964 : PRIMEAXIS URGENT CARE CENTER : PEARLAND, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1376498964
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    PRIMEAXIS URGENT CARE CENTER 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/28/2026
-----------------------------------------------------
    Last Update Date     |    02/28/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    11901 SHADOW CREEK PKWY STE 111 
-----------------------------------------------------
    City                 |    PEARLAND
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77584-7346
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    469-677-9787
-----------------------------------------------------
    Fax                  |    281-697-7402
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    428 SW 27TH AVE APT 212 
-----------------------------------------------------
    City                 |    FORT LAUDERDALE
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33312-2280
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MEDICAL DIRECTOR
-----------------------------------------------------
    Name                 |    MR. STEPHEN  PAULSON 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    954-669-0401
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QU0200X
-----------------------------------------------------
    Taxonomy Name        |    Urgent Care Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.