Waller Urgent Care Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

WALLER URGENT CARE INC

Practice address

31406 FM 2920
Ste B102A
Waller, TX 77484

Phone

(281) 509-3585

NPI assigned

Mar 22, 2023

Last updated

Jul 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Beatrice Ngonde NkwelleNPI 1023315934

Title

Owner

Phone

(281) 509-3585

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Beatrice Ngonde Nkwelle, APRN

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1023315934
  Medicare reassignment NPD Authorized official
• Laurence Leumalieu, NP

  • Acute Care Nurse Practitioner
  • Katy, TX
  • NPI 1689342891
  NPD
• Olufunmike Ogunleye Okoro

  • Family Nurse Practitioner
  • Rosenberg, TX
  • NPI 1073206629
  NPD (past)

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1740983550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31406 FM 2920",
            "address_2": "STE B102A",
            "city": "WALLER",
            "state": "TX",
            "postal_code": "77484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31406 FM 2920",
            "address_2": "STE B102A",
            "city": "WALLER",
            "state": "TX",
            "postal_code": "77484",
            "telephone_number": "281-509-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLER URGENT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "NKWELLE",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_middle_name": "NGONDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-509-3585"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Vogel
• Waller Dental Associates PA
• Waller Family Eyecare
• Waller Isd
• Waller RX Pharmacy, PLLC
• Robin Louise Warner, D.C.
• Wellness Willows Holistic Health Retreat Inc (Wellness Willows SleepQuip)
• Wellness Willows Holistic Health Retreat Inc
• Whitney Jones DDS PLLC (290 Dental Studio)
• Geraldine Wilson, APN/FNP

• Urgent Care Clinic/Center in Waller, TX
• Providers in Waller, TX by specialty
• Urgent Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.