Organization Active NPI

Mercy-Teddy Health Care LLC

  • Urgent Care Clinic/Center
  • Katy, TX
National Provider Identifier
1609330950
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MERCY-TEDDY HEALTH CARE LLC
Practice address
25311 Kingsland Blvd Ste 190
Katy, TX 77494-7349
Phone
(832) 913-8504
Fax
(832) 913-8527
NPI assigned
Jan 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Authorized official

Name
Dr. Tewodros Woldemariam Teketel, MDNPI 1386070159
Title
Ceo/MD
Phone
(510) 258-7081

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

25311 Kingsland Blvd Ste 190
Katy, TX 77494-7349

Mailing address

29514 Highland Manor CT
Katy, TX 77494-7778
Phone (832) 447-6454

Other names 1

  • Zion Urgent Care Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

25311 Kingsland Blvd
Ste 190
Katy, TX 77494
Phone (832) 447-6454

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": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1609330950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29514 HIGHLAND MANOR CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947778",
            "telephone_number": "832-447-6454",
            "fax_number": "866-237-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25311 KINGSLAND BLVD STE 190",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947349",
            "telephone_number": "832-913-8504",
            "fax_number": "832-913-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY-TEDDY HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-30",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "TEKETEL",
        "authorized_official_first_name": "TEWODROS",
        "authorized_official_middle_name": "WOLDEMARIAM",
        "authorized_official_title_or_position": "CEO/MD",
        "authorized_official_telephone_number": "510-258-7081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zion Urgent Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Zion Urgent Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 18, 2021; 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.