Organization · NPI-2

Columbus Urgent Care PA

Clinic/Center · Conroe, TX

NPI number1043947955
StatusActive
Last updated in NPPESAug 2, 2022

Details

NPI
1043947955
Entity type
Organization (NPI-2)
Legal business name
Columbus Urgent Care PA
Organization subpart
Yes
Enumeration date
Aug 2, 2022
Certification date
Aug 2, 2022
Last updated
Aug 2, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Other names

  • Conroe Urgent Care PA (Doing Business As)

Practice location

804 W Dallas St
Conroe, TX 77301-2248

Phone 936-494-0865 · Fax 936-494-0057

Mailing address

804 W Dallas St
Conroe, TX 77301-2248

Phone 936-494-0865 · Fax 936-494-0057

Authorized official

Abdur Rauf
Authorized Official
7138936214

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