NPIMap

Organization Active NPI

Pediatric Immediate Care of Texas, PLLC

  • Pediatrics Physician
  • League City, TX
National Provider Identifier
1083156905
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRIC IMMEDIATE CARE OF TEXAS, PLLC
Practice address
3831 E League City Pkwy
Suite a
League City, TX 77573-7155
Phone
(281) 515-2643
NPI assigned
Nov 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Authorized official

Name
Rami Sunallah, MDNPI 1588892582
Title
Owner
Phone
(281) 515-2643

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary
Pediatric Critical Care Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0203X
Pediatric Emergency Medicine (Pediatrics) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0204X

Addresses

Primary practice location

3831 E League City Pkwy
Suite a
League City, TX 77573-7155

Mailing address

3831 E League City Pkwy
Suite a
League City, TX 77573-7155

National Provider Directory

National Provider Directory

Locations

3831 E League City Pkwy
Ste A
League City, TX 77573
Phone (281) 515-2643

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1083156905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 E LEAGUE CITY PKWY",
            "address_2": "SUITE A",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775737155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 E LEAGUE CITY PKWY",
            "address_2": "SUITE A",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775737155",
            "telephone_number": "281-515-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC IMMEDIATE CARE OF TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "SUNALLAH",
        "authorized_official_first_name": "RAMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-515-2643",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.