NPIMap

Organization Active NPI

Pediatric Urgent Care PA

  • Urgent Care Clinic/Center
  • The Woodlands, TX
National Provider Identifier
1598059776
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PEDIATRIC URGENT CARE PA
Practice address
1640 Lake Woodlands Dr
Suite E
The Woodlands, TX 77380-3276
Phone
(214) 729-5600
NPI assigned
Jun 5, 2011
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Brian White
Title
Office Manager
Phone
(214) 729-5600

Practitioners 73

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 73

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
45D2066072Urgent Care for Kids - the Woodlands1640 Lake Woodlands Drive, The Woodlands, TX 77380Certificate of waiverJul 27, 2026

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20200410001319 TX Part B Supplier - Clinic/Group Practice 2567891609 Receives reassigned benefits from 65 practitioners
Practice locations: Cedar Park, TX; Arlington, TX; The Woodlands, TX; Round Rock, TX; Plano, TX; McKinney, TX; Mansfield, TX; Garland, TX…

National Provider Directory

National Provider Directory

Locations

215 S Loop 336 W
Ste 600
Conroe, TX 77304
Phone (726) 203-4533

5910 N Central Expy
Ste 1000
Dallas, TX 75206

3400 Texas Sage Trl
Fort Worth, TX 76177

7150 N President George Bush Hwy
Ste 100
Garland, TX 75044
Phone (214) 919-3170

6807 Highway 6 N
Unit 54
Houston, TX 77084

4528 Dacoma St
#100
Houston, TX 77092

17395 Tomball Pkwy
Ste 3A
Houston, TX 77064
Phone (281) 990-1513

23730 Westheimer Pkwy
Ste N
Katy, TX 77494
Phone (281) 392-3033

940 Keller Pkwy
Ste 250
Keller, TX 76248
Phone (682) 593-0191

2251 Matlock Rd
Ste 103
Mansfield, TX 76063
Phone (682) 518-2867

6091 W University Dr
Ste 108B
McKinney, TX 75071
Phone (214) 592-0701

1640 Lake Woodlands Dr
Ste E
The Woodlands, TX 77380
Phone (281) 367-0010

19325 Gulf Fwy
#180
Webster, TX 77598

Specialties & licenses 8

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Clinic/Center 261Q00000X H3835 TX
Urgent Care Clinic/Center 261QU0200X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

NPPES NPI Registry

Primary practice location

1640 Lake Woodlands Dr
Suite E
The Woodlands, TX 77380-3276

Mailing address

1701 River Run Ste 302
Fort Worth, TX 76107-6547

Other identifiers 9

NPPES NPI Registry
IdentifierTypeStateIssuer
334442604MedicaidTX
345142901MedicaidTX
345650101MedicaidTX
346449201MedicaidTX
334442605MedicaidTX
345988501MedicaidTX
344917501MedicaidTX
345871301MedicaidTX
344911801MedicaidTX

Other names 1

NPPES NPI Registry
  • Urgent Care for Kids Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 3, 2022.

{
    "created_epoch": "1307232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1598059776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 RIVER RUN STE 302",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 LAKE WOODLANDS DR",
            "address_2": "SUITE E",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803276",
            "telephone_number": "214-729-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC URGENT CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-05",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "214-729-5600"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "H3835",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "334442604",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345142901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345650101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "346449201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "334442605",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345988501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344917501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345871301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344911801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent Care for Kids",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Urgent Care for Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.