Provider Demographics
NPI:1356772719
Name:KHAN & MUJEEB URGENT CARE GROUP NO 2
Entity type:Organization
Organization Name:KHAN & MUJEEB URGENT CARE GROUP NO 2
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWER
Authorized Official - Prefix:
Authorized Official - First Name:KAMRAN
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:936-641-0434
Mailing Address - Street 1:14405 FM 2100 RD STE B
Mailing Address - Street 2:
Mailing Address - City:CROSBY
Mailing Address - State:TX
Mailing Address - Zip Code:77532-6586
Mailing Address - Country:US
Mailing Address - Phone:832-821-9780
Mailing Address - Fax:281-666-1253
Practice Address - Street 1:14405 FM 2100 RD STE B
Practice Address - Street 2:
Practice Address - City:CROSBY
Practice Address - State:TX
Practice Address - Zip Code:77532-6586
Practice Address - Country:US
Practice Address - Phone:832-821-9780
Practice Address - Fax:281-666-1253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-10
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care