MEDICARE: EXCEL URGENT CARE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	H7344	TX
2	207P00000X	Emergency Medicine Physician	L0887	TX
3	207R00000X	Internal Medicine Physician	H7344	TX
4	207R00000X	Internal Medicine Physician	L0887	TX
5	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1013965797
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXCEL URGENT CARE PLLC

Provider Business Mailing Address
First Line	:	25402 NORTHWEST FWY STE 101
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77429-8685
Country	:	US
Telephone Number	:	281-304-1100
Fax Number	:	281-256-0205

Provider Business Practice Location Address
First Line	:	25402 NORTHWEST FWY STE 101
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77429-8685
Country	:	US
Telephone Number	:	281-304-1100
Fax Number	:	281-256-0205

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	DR. CHRISTOPHER O OGUNRO
Credential	:	MD
Telephone Number	:	281-304-1100

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	01/27/2025

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