Organization Active NPI

Rosenberg Urgent Care and Family Practice

  • Urgent Care Clinic/Center
  • Rosenberg, TX
National Provider Identifier
1235835786
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ROSENBERG URGENT CARE AND FAMILY PRACTICE
Practice address
3310 1St St Ste 7
Rosenberg, TX 77471-5869
Phone
(936) 639-6808
Fax
(737) 200-7240
NPI assigned
Feb 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Authorized official

Name
Ana Maria Montero
Title
Manager
Phone
(936) 639-6808

Specialties & licenses 1

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

Addresses

Primary practice location

3310 1St St Ste 7
Rosenberg, TX 77471-5869

Mailing address

898 Harley Golden Rd
Lufkin, TX 75901-1024
Phone (936) 639-6808

Other identifiers 1

IdentifierTypeStateIssuer
PA08543OtherTXPA LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230329000238 TX Part B Supplier - Clinic/Group Practice 3274907563 Receives reassigned benefits from 1 practitioner
Practice locations: Rosenberg, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2284643Rosenberg Urgent Care & Family Practice3310 1St Street Suite 7, Rosenberg, TX 77471Certificate of waiverJun 26, 2027

National Provider Directory

National Provider Directory

Locations

3310 1st St
Ste 7
Rosenberg, TX 77471
Phone (281) 762-1950

Practitioners & affiliated clinicians

Practitioners 1

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": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1235835786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "898 HARLEY GOLDEN RD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759011024",
            "telephone_number": "936-639-6808",
            "fax_number": "737-200-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 1ST ST STE 7",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774715869",
            "telephone_number": "936-639-6808",
            "fax_number": "737-200-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSENBERG URGENT CARE AND FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "MONTERO",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "936-639-6808"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "PA08543",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosenberg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.