MEDICARE: NLUC 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	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1609118272
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NLUC PLLC

Provider Business Mailing Address
First Line	:	5718 WESTHEIMER RD STE 400
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-5733
Country	:	US
Telephone Number	:	281-783-8162
Fax Number	:	281-336-0764

Provider Business Practice Location Address
First Line	:	8720 HIGHWAY 6
Second Line	:	SUITE 400
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-7107
Country	:	US
Telephone Number	:	281-201-0657
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	JULIET S BREEZE
Credential	:	M.D.
Telephone Number	:	281-201-0657

Provider Enumeration Date	:	03/21/2013
Last Update Date	:	04/26/2024

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