MEDICARE: CLINICAL CITY CARE I 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

General Provider Information

NPI Number	:	1235028358
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLINICAL CITY CARE I PLLC

Provider Business Mailing Address
First Line	:	10021 MAIN ST STE B4
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-5255
Country	:	US
Telephone Number	:	346-223-2140
Fax Number	:	346-223-2194

Provider Business Practice Location Address
First Line	:	10021 MAIN ST STE B4
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-5255
Country	:	US
Telephone Number	:	346-223-2140
Fax Number	:	346-223-2194

Authorized Official
Title or Position	:	MEMBER
Name	:	SANAULLAH ABBASI
Credential	:
Telephone Number	:	817-903-0997

Provider Enumeration Date	:	07/02/2025
Last Update Date	:	03/18/2026

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