MEDICARE: TEXAS URGENT CARE-SOUTHWEST

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	302R00000X	Health Maintenance Organization		TX

General Provider Information

NPI Number	:	1437202140
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS URGENT CARE-SOUTHWEST

Provider Business Mailing Address
First Line	:	PO BOX 1529
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77487-1529
Country	:	US
Telephone Number	:	713-783-8181
Fax Number	:	713-783-1831

Provider Business Practice Location Address
First Line	:	6892 SOUTHWEST FWY STE A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-2108
Country	:	US
Telephone Number	:	713-783-8181
Fax Number	:	713-783-1831

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. JOHN WILSON
Credential	:
Telephone Number	:	713-416-9966

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	07/21/2022

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Directions to “TEXAS URGENT CARE-SOUTHWEST ” Practice Location

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