Provider Demographics
NPI:1730821208
Name:MEMORIAL HERMANN URGENT CARE PLLC
Entity type:Organization
Organization Name:MEMORIAL HERMANN URGENT CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, RISK MGMT/CORPORATE LEGAL
Authorized Official - Prefix:
Authorized Official - First Name:CHARMAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:FERGUSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-242-4456
Mailing Address - Street 1:929 GESSNER RD STE 2700
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2593
Mailing Address - Country:US
Mailing Address - Phone:713-338-4131
Mailing Address - Fax:713-338-4158
Practice Address - Street 1:1227 MUSEUM SQUARE DR STE A
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-4630
Practice Address - Country:US
Practice Address - Phone:281-265-4630
Practice Address - Fax:832-658-5430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-13
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty