MEDICARE: MMC 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	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1770825952
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MMC URGENT CARE,PLLC

Provider Business Mailing Address
First Line	:	6750 E SAM HOUSTON PKWY N
Second Line	:	STE 110
City	:	HOUSTON
State	:	TX
Zip	:	77049-4041
Country	:	US
Telephone Number	:	832-328-5612
Fax Number	:	832-328-5614

Provider Business Practice Location Address
First Line	:	6750 E SAM HOUSTON PKWY N
Second Line	:	STE 110
City	:	HOUSTON
State	:	TX
Zip	:	77049-4041
Country	:	US
Telephone Number	:	832-328-5612
Fax Number	:	832-328-5614

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOSE ANTONIO RODRIGUEZ
Credential	:	M.D.
Telephone Number	:	832-328-5612

Provider Enumeration Date	:	03/26/2013
Last Update Date	:	12/28/2021

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