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General NPI Number Information
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NPI Number | 1639736275
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Entity Type | Organization
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Legal Business Name | PREMIER URGENT CARE, PLLC
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Dates
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Enumeration Date | 05/20/2019
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Last Update Date | 11/07/2019
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Provider Practice Location Address
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Address Line | 20144 MORTON RD # 202
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City | KATY
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State | TX
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Zip | 77449-3726
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Country | US
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Telephone | 832-391-6871
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Fax | 281-781-2560
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Provider Business Mailing Address
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Address Line | 20212 CHAMPION FOREST DR STE 700-365
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City | SPRING
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State | TX
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Zip | 77379-8780
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Country | US
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Telephone | 832-391-6871
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Fax | 281-781-2560
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Authorized Official
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Title or Position | OWNER/AO
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Name | MUHAMMAD USMAN KHAN
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Credential | MD
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Telephone | 901-857-1052
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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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