MEDICARE: WEST PARK URGENT MEDICAL 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	:	1972469666
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST PARK URGENT MEDICAL CARE PLLC

Provider Business Mailing Address
First Line	:	6307 WINDERMERE PARK LN
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-3621
Country	:	US
Telephone Number	:	832-915-5551
Fax Number	:	832-915-5557

Provider Business Practice Location Address
First Line	:	3391 WESTPARK DR STE C
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-4262
Country	:	US
Telephone Number	:	832-915-5551
Fax Number	:	832-915-5557

Authorized Official
Title or Position	:	CEO
Name	:	AJAY K BHORA
Credential	:	MD
Telephone Number	:	716-901-6803

Provider Enumeration Date	:	12/26/2025
Last Update Date	:	12/26/2025

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