Santa Clara Family Clinic
LBN: Urban Healthcare, Llc
Santa Clara Family Clinic is an health care organization with primary practice located at 5616 Lawndale St Suite A-203, Houston TX 77023-3840. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Urban Healthcare, Llc can be contacted via phone (713) 923-2273, or through Urtis, Jason T via phone (713) 923-2273.
Contact Information
Primary practice address
5616 Lawndale St Suite A-203
Houston TX 77023-3840
Phone: (713) 923-2273
Fax: (713) 923-2276
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
NPI number | 1275716110 |
---|---|
LBN Legal business name | Urban Healthcare, Llc |
DBA Doing business as | Santa Clara Family Clinic |
Authorized official | Urtis, Jason T |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 13th, 2007 |
Last updated | Jul 2nd, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275716110 | NPPES |
Texas | MEDICAID | 192241102 | |
Texas | Other | 0011RB | |
Texas | MEDICAID | 192241101 |
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