1144588740 NPI number — VIP HEALTH SERVICES, LLC.

Table of content: (NPI 1144588740)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144588740 NPI number — VIP HEALTH SERVICES, LLC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VIP HEALTH SERVICES, LLC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
KINGWOOD URGENT CARE & SPECIAL CLINIC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144588740
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/17/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2601 W LAKE HOUSTON PKWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KINGWOOD
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77339-5222
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-360-7502
Provider Business Mailing Address Fax Number:
281-360-0587

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2601 W LAKE HOUSTON PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KINGWOOD
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77339-5222
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-360-7502
Provider Business Practice Location Address Fax Number:
281-360-0587
Provider Enumeration Date:
05/02/2012

Additional Information

Authorized Official

Authorized Official Last Name:
IRANMANESH
Authorized Official First Name:
HAMIDREZA
Authorized Official Middle Name:
Authorized Official Title or Position:
MEDICAL PROVIDER
Authorized Official Telephone Number:
281-360-7502

Provider Taxonomy Codes

  • Taxonomy code: 261QU0200X , with the licence number:  N3749 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 302R00000X , with the licence number: N3749 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com