Provider Demographics
NPI:1538409214
Name:ASSURANCE URGENT CARE - COPPERWOOD, LLC
Entity type:Organization
Organization Name:ASSURANCE URGENT CARE - COPPERWOOD, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:NADEEM
Authorized Official - Middle Name:A
Authorized Official - Last Name:MALHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-236-5659
Mailing Address - Street 1:15881 FM 529
Mailing Address - Street 2:STE A AND B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095
Mailing Address - Country:US
Mailing Address - Phone:832-427-1871
Mailing Address - Fax:832-683-4235
Practice Address - Street 1:15881 FM 529
Practice Address - Street 2:STE A AND B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095
Practice Address - Country:US
Practice Address - Phone:832-427-1871
Practice Address - Fax:832-683-4235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-18
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1903261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care