Organization Active NPI

Prime Occ, PLLC

  • Urgent Care Clinic/Center
  • Stafford, TX
National Provider Identifier
1396270815
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PRIME OCC, PLLC
Practice address
3623 S Main Street
Suite 109
Stafford, TX 77477-5406
Phone
(281) 821-8200
NPI assigned
Apr 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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

Authorized official

Name
Yogesh Reddy, M.D.
Title
Ceo
Phone
(281) 821-8200

Specialties & licenses 1

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

Addresses

Primary practice location

3623 S Main Street
Suite 109
Stafford, TX 77477-5406

Mailing address

3623 S Main Street
Suite 109
Stafford, TX 77477-5406
Phone (281) 821-8200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1396270815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 S MAIN STREET",
            "address_2": "SUITE 109",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775406",
            "telephone_number": "281-821-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 S MAIN STREET",
            "address_2": "SUITE 109",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775406",
            "telephone_number": "281-821-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME OCC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "YOGESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-821-8200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.