Active NPI
Mercy-Teddy Health Care LLC
- Urgent Care Clinic/Center
- Katy, TX
National Provider Identifier
1609330950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tewodros Woldemariam Teketel, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Katy, TX
- NPI 1386070159
General Practice
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.