| Northeast Urgent Care Corporation | |
|
7120 Fm 1960 Rd E Humble TX 77346-2702 | |
| (281) 852-0655 | |
| Not Available |
| Full Name | Northeast Urgent Care Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 7120 Fm 1960 Rd E, Humble, Texas |
| Authorized Official Name and Position | Chit Wong (OWNER) |
| Authorized Official Contact | 7136285372 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Urgent Care Corporation 9109 Creekstone Lake Dr Houston TX 77054-1003 Ph: (832) 644-8368 | Northeast Urgent Care Corporation 7120 Fm 1960 Rd E Humble TX 77346-2702 Ph: (281) 852-0655 |
| NPI Number | 1649442674 |
|---|---|
| Provider Enumeration Date | 03/31/2008 |
| Last Update Date | 09/22/2016 |
| Medicare PECOS PAC ID | 2860785722 |
|---|---|
| Medicare Enrollment ID | O20170310000398 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649442674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Chit Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700982170 PECOS PAC ID: 3274540893 Enrollment ID: I20120717000303 |
| Provider Name | Rodrigo Daniel Hinke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174831739 PECOS PAC ID: 0749457232 Enrollment ID: I20130927000186 |
| Provider Name | Cristina G Mallari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992046361 PECOS PAC ID: 9133403199 Enrollment ID: I20170313000083 |
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