Organization Active NPI

Columbus Urgent Care PA

Doing business as Conroe Urgent Care PA

  • Clinic/Center
  • Conroe, TX
National Provider Identifier
1043947955
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
COLUMBUS URGENT CARE PA
Doing business as
Conroe Urgent Care PA
Practice address
804 W Dallas St
Conroe, TX 77301-2248
Phone
(936) 494-0865
Fax
(936) 494-0057
NPI assigned
Aug 2, 2022
Last updated
Aug 2, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
COLUMBUS URGENT CARE PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Authorized official

Name
Abdur Rauf
Title
Authorized Official
Phone
(713) 893-6214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

804 W Dallas St
Conroe, TX 77301-2248

Mailing address

804 W Dallas St
Conroe, TX 77301-2248
Phone (936) 494-0865

Other names 1

  • Conroe Urgent Care PA Doing business as

National Provider Directory

National Provider Directory
Part of
Columbus Urgent Care PA

Locations

804 W Dallas St
Conroe, TX 77301
Phone (936) 494-0865

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1043947955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 W DALLAS ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773012248",
            "telephone_number": "936-494-0865",
            "fax_number": "936-494-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 W DALLAS ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773012248",
            "telephone_number": "936-494-0865",
            "fax_number": "936-494-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS URGENT CARE PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBUS URGENT CARE PA",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "RAUF",
        "authorized_official_first_name": "ABDUR",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-893-6214"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conroe Urgent Care PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.