Organization Active NPI

Grand Parkway Urgent Clinic LLC

  • Urgent Care Clinic/Center
  • Katy, TX
National Provider Identifier
1225433519
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
GRAND PARKWAY URGENT CLINIC LLC
Practice address
403 W Grand Pkwy S
Suite a
Katy, TX 77494-8358
Phone
(713) 785-1119
NPI assigned
Oct 29, 2014
Last updated
Oct 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Authorized official

Name
Benjamin Iskhakov
Title
Consultant
Phone
(718) 480-6700

Specialties & licenses 1

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

Addresses

Primary practice location

403 W Grand Pkwy S
Suite a
Katy, TX 77494-8358

Mailing address

403 W Grand Pkwy S
Suite a
Katy, TX 77494-8358

National Provider Directory

National Provider Directory

Locations

403 W Grand Pkwy S
Ste A
Katy, TX 77494
Phone (713) 777-9199

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1225433519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 W GRAND PKWY S",
            "address_2": "SUITE A",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W GRAND PKWY S",
            "address_2": "SUITE A",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948358",
            "telephone_number": "713-785-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND PARKWAY URGENT CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "ISKHAKOV",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "718-480-6700"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.