NPIMap

Organization Active NPI

Bunker Hill Urgent Care PLLC Dba Entrust Immediate Care

  • Urgent Care Clinic/Center
  • Houston, TX
National Provider Identifier
1043545940
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
H7240 Issued in TX
Legal business name
BUNKER HILL URGENT CARE PLLC DBA ENTRUST IMMEDIATE CARE
Doing business as
Bunker Hill Urgent Care PLLC DBA Entrust Immediate Care
Practice address
9778 Katy Freeway
Houston, TX 77055
Phone
(713) 468-7845
Fax
(713) 468-7846
NPI assigned
Oct 9, 2009
Last updated
Jan 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mayra Moya
Title
Billing Coordinator
Phone
(616) 734-0335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X H7240 TX Primary

Addresses

Primary practice location

9778 Katy Freeway
Houston, TX 77055

Mailing address

PO Box 1476
Dept #132
Houston, TX 77251-1476
Phone (616) 734-0334

Other names 1

  • Bunker Hill Urgent Care PLLC DBA Entrust Immediate Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100316000068 TX Part B Supplier - Clinic/Group Practice 6103951256 Receives reassigned benefits from 22 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

5535 Memorial Dr
Ste B
Houston, TX 77007
Phone (713) 391-8533

9778 Katy Fwy
Houston, TX 77055
Phone (713) 468-7845

9778 Katy Fwy
Ste 100
Houston, TX 77055
Phone (281) 306-5926

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1043545940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1476",
            "address_2": "DEPT #132",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772511476",
            "telephone_number": "616-734-0334",
            "fax_number": "616-949-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9778 KATY FREEWAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77055",
            "telephone_number": "713-468-7845",
            "fax_number": "713-468-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUNKER HILL URGENT CARE PLLC DBA ENTRUST IMMEDIATE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-09",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "MOYA",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "616-734-0335"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": "H7240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bunker Hill Urgent Care PLLC DBA Entrust Immediate Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.