Organization Active NPI

Dowlen Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Beaumont, TX
National Provider Identifier
1326423351
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
K1627 Issued in TX
Legal business name
DOWLEN URGENT CARE PLLC
Practice address
2342 Dowlen Rd
Beaumont, TX 77706-2537
Phone
(409) 781-3698
Fax
(409) 225-5930
NPI assigned
Jul 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Authorized official

Name
Dr. Shama Parveen Quraishi, M.D.NPI 1649262007
Title
Manager
Phone
(409) 781-2015

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X K1627 TX Primary

Addresses

Primary practice location

2342 Dowlen Rd
Beaumont, TX 77706-2537

Mailing address

2342 Dowlen Rd
Beaumont, TX 77706-2537
Phone (409) 781-3698

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151102000458 TX Part B Supplier - Clinic/Group Practice 8022328103 Receives reassigned benefits from 2 practitioners
Practice locations: Beaumont, 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
45D2095859Dowlen Urgent Care PLLC2342 Dowlen Road, Beaumont, TX 77706Certificate of waiverMay 11, 2027

National Provider Directory

National Provider Directory

Locations

2342 Dowlen Rd
Ste 101
Beaumont, TX 77706

2342 Dowlen Rd
Beaumont, TX 77706
Phone (409) 832-7195

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": "1437350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1326423351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2342 DOWLEN RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777062537",
            "telephone_number": "409-781-3698",
            "fax_number": "409-225-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2342 DOWLEN RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777062537",
            "telephone_number": "409-781-3698",
            "fax_number": "409-225-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWLEN URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-07-20",
        "status": "A",
        "authorized_official_last_name": "QURAISHI",
        "authorized_official_first_name": "SHAMA",
        "authorized_official_middle_name": "PARVEEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "409-781-2015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": "K1627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.