NPIMap

Organization Active NPI

Optum Clinic, PA

  • Urgent Care Clinic/Center
  • Katy, TX
National Provider Identifier
1265820765
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
OPTUM CLINIC, PA
Practice address
1463 S. Mason Road
Katy, TX 77450
Phone
(877) 456-5506
NPI assigned
Jan 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Authorized official

Name
Dr. Curtis Mock, MD
Title
Ceo
Phone
(401) 732-7325

Specialties & licenses 1

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

Addresses

Primary practice location

1463 S. Mason Road
Katy, TX 77450

Mailing address

PO Box 692
Minneapolis, MN 55440-0692
Phone (877) 456-5506

National Provider Directory

National Provider Directory
Tax ID family
Optum Clinic PA9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1265820765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 692",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554400692",
            "telephone_number": "877-456-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1463 S. MASON ROAD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "877-456-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "MOCK",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "401-732-7325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "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 Mar 9, 2016; 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.