Active NPI
Katy Gaston Urgent Care PLLC
- Urgent Care Clinic/Center
- Katy, TX
National Provider Identifier
1619640489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- KATY GASTON URGENT CARE PLLC
- Practice address
- 6940 Katy Gaston Rd
Katy, TX 77494-6480 - Phone
- (713) 392-1627
- NPI assigned
- Jul 28, 2021
- 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
- Omobolaji Olutimehin, MD
- Title
- Owner
- Phone
- (713) 392-1627
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
6940 Katy Gaston Rd
Katy, TX 77494-6480
Mailing address
6940 Katy Gaston Rd
Katy, TX 77494-6480
Phone (713) 392-1627
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6940 Katy Gaston Rd
Katy, TX 77494
Phone (832) 425-3773
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adolescent Medicine (Family Medicine) Physician
- Houston, TX
- NPI 1851321582
-
- Nurse Practitioner
- Houston, TX
- NPI 1861025272
-
- Family Nurse Practitioner
- Houston, TX
- NPI 1770987737
-
- Family Nurse Practitioner
- Sugar Land, TX
- NPI 1457729287
-
- Psychiatric/Mental Health Nurse Practitioner
- Katy, TX
- NPI 1316333479
-
- Family Medicine Physician
- Houston, TX
- NPI 1982877387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646179200000",
"number": "1619640489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6940 KATY GASTON RD",
"city": "KATY",
"state": "TX",
"postal_code": "774946480",
"telephone_number": "713-392-1627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6940 KATY GASTON RD",
"city": "KATY",
"state": "TX",
"postal_code": "774946480",
"telephone_number": "713-392-1627"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATY GASTON URGENT CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-28",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A",
"authorized_official_last_name": "OLUTIMEHIN",
"authorized_official_first_name": "OMOBOLAJI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "713-392-1627",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.