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1972469666 NPI number — WEST PARK URGENT MEDICAL CARE PLLC

NPI Number: 1972469666
Health Care Provider/Practitioner: WEST PARK URGENT MEDICAL CARE PLLC

Information about “1972469666” NPI (WEST PARK URGENT MEDICAL CARE PLLC) exists in 1972469666 in HTML format HTML  |  1972469666 in plain Text format TXT  |  1972469666 in PDF (Portable Document Format) PDF  |  1972469666 in an XML format XML  formats.

NPI Number : 1972469666 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972469666",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WEST PARK URGENT MEDICAL CARE PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6307 WINDERMERE PARK LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SUGAR LAND",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77479-3621",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "832-915-5551",
    "MailingAddressFaxNumber": "832-915-5557",
    "FirstLinePracticeLocationAddress": "3391 WESTPARK DR STE C",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77005-4262",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "832-915-5551",
    "PracticeLocationAddressFaxNumber": "832-915-5557",
    "EnumerationDate": "12/26/2025",
    "LastUpdateDate": "12/26/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BHORA",
    "AuthorizedOfficialFirstName": "AJAY",
    "AuthorizedOfficialMiddleName": "K",
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "716-901-6803",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QU0200X",
        "TaxonomyName": "Urgent Care Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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