MEDICARE: LIFELINE URGENT CARE LLC

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	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1508391962
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFELINE URGENT CARE LLC

Provider Business Mailing Address
First Line	:	13410 BRIAR FOREST DR STE 190
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-2393
Country	:	US
Telephone Number	:	281-771-1144
Fax Number	:	281-771-1146

Provider Business Practice Location Address
First Line	:	13410 BRIAR FOREST DR STE 190
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-2393
Country	:	US
Telephone Number	:	281-771-1144
Fax Number	:	281-771-1146

Authorized Official
Title or Position	:	OWNER
Name	:	RAVI KUMAR KALIDINDI
Credential	:	MD
Telephone Number	:	281-771-1144

Provider Enumeration Date	:	04/24/2017
Last Update Date	:	11/24/2025

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