MEDICARE: PRIORITY MD MANAGEMENT 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	:	1801660808
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIORITY MD MANAGEMENT PLLC

Provider Business Mailing Address
First Line	:	4227 ALLEN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-3566
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2323 CLEAR LAKE CITY BLVD STE 130
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-8040
Country	:	US
Telephone Number	:	832-917-0913
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	HUMAIRA QURESHI
Credential	:
Telephone Number	:	281-712-8033

Provider Enumeration Date	:	11/09/2023
Last Update Date	:	12/02/2024

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