Provider Demographics
NPI:1013965797
Name:EXCEL URGENT CARE PLLC
Entity type:Organization
Organization Name:EXCEL URGENT CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:O
Authorized Official - Last Name:OGUNRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-304-1100
Mailing Address - Street 1:25402 NORTHWEST FWY STE 101
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-8685
Mailing Address - Country:US
Mailing Address - Phone:281-304-1100
Mailing Address - Fax:281-256-0205
Practice Address - Street 1:25402 NORTHWEST FWY STE 101
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-8685
Practice Address - Country:US
Practice Address - Phone:281-304-1100
Practice Address - Fax:281-256-0205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH7344207P00000X, 207R00000X
TXL0887207P00000X, 207R00000X
261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00639ZMedicare ID - Type UnspecifiedGRP. #