| Srm Urgent Care Pllc | |
|
3514 Highway 36 S Ste 600 Rosenberg TX 77471-9119 | |
| (716) 601-4010 | |
| Not Available |
| Full Name | Srm Urgent Care Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3514 Highway 36 S Ste 600, Rosenberg, Texas |
| Authorized Official Name and Position | Jigisha Tanmay Shah (MEDICAL DIRECTOR/MANAGER) |
| Authorized Official Contact | 7166014010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Srm Urgent Care Pllc 3514 Highway 36 S Ste 600 Rosenberg TX 77471-9119 Ph: () - | Srm Urgent Care Pllc 3514 Highway 36 S Ste 600 Rosenberg TX 77471-9119 Ph: (716) 601-4010 |
| NPI Number | 1942928064 |
|---|---|
| Provider Enumeration Date | 08/15/2022 |
| Last Update Date | 09/22/2022 |
| Medicare PECOS PAC ID | 1153797584 |
|---|---|
| Medicare Enrollment ID | O20221026000935 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942928064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Dipan Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013375930 PECOS PAC ID: 7214215086 Enrollment ID: I20170518000085 |
| Provider Name | Michelle V Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639533854 PECOS PAC ID: 5092063172 Enrollment ID: I20180806002797 |
| Provider Name | Jigisha Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891950770 PECOS PAC ID: 5294901187 Enrollment ID: I20190226001531 |
| Provider Name | Cassandra Flores Carmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073153136 PECOS PAC ID: 2961839568 Enrollment ID: I20200220001005 |
| Provider Name | Leslie Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285301911 PECOS PAC ID: 4981075363 Enrollment ID: I20240228001586 |
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