Providence Physician Associates

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PROVIDENCE PHYSICIAN ASSOCIATES

Doing business as

Brazos Urgent Care
RapidClinic

Practice address

6306 Fairbanks N Houston Rd Ste 500
Houston, TX 77040-5193

Phone

(832) 831-9094

NPI assigned

May 19, 2017

Last updated

Nov 13, 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

Babatunde OtinwaNPI 1679744676

Title

Manager

Phone

(832) 831-9094

Specialties & licenses 1

Addresses

Other names 2

• Brazos Urgent Care Doing business as
• RapidClinic Doing business as

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 85

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.

• Babatunde Adebola Otinwa, D.O.

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1679744676
  Medicare reassignment Care Compare group NPD Authorized official
• Tatiana Canon

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1467131706
  Medicare reassignment Care Compare group NPD
• Weslyn Carter, APRN, FNP-C

  • Family Nurse Practitioner
  • Humble, TX
  • NPI 1548944952
  Medicare reassignment Care Compare group NPD
• Kristi Rene Dodson-Conner, FNP-BC

  • Family Nurse Practitioner
  • Pasadena, TX
  • NPI 1184407165
  Medicare reassignment Care Compare group NPD
• Juanita Hinson, FNP

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1790664423
  Medicare reassignment Care Compare group NPD
• Jennifer L. Lakowsky-Brueckner, FNP

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1548245004
  Medicare reassignment Care Compare group NPD
• Ashley Nichole Rose, APRN, FNP-C

  • Family Nurse Practitioner
  • Spring, TX
  • NPI 1528807062
  Medicare reassignment Care Compare group NPD
• Teresa Angeline A Ulep

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1669109153
  Medicare reassignment Care Compare group NPD
• Tania E Perez, ARNP

  • Family Nurse Practitioner
  • Naples, FL
  • NPI 1174197966

  TX

  Medicare reassignment Care Compare group NPD
• Audrey Camille Cao

  • Physician Assistant
  • Houston, TX
  • NPI 1649970880
  Medicare reassignment Care Compare group
• Yaoska Brasilia Miranda-Rosales, PA-C

  • Medical Physician Assistant
  • Atascocita, TX
  • NPI 1306303441
  Medicare reassignment Care Compare group
• Heather Marie Bacon, FNP

  • Family Nurse Practitioner
  • Conroe, TX
  • NPI 1306564844
  Medicare reassignment NPD

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1760919880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6306 FAIRBANKS N HOUSTON RD STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770405193",
            "telephone_number": "832-831-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6306 FAIRBANKS N HOUSTON RD STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770405193",
            "telephone_number": "832-831-9094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4420 W Main St",
            "address_purpose": "LOCATION",
            "city": "League City",
            "state": "TX",
            "postal_code": "775731737",
            "country_code": "US",
            "telephone_number": "832-831-9094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4517 Kingwood Dr",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773452621",
            "country_code": "US",
            "telephone_number": "832-831-9094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8955 Highway 6 N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770952321",
            "country_code": "US",
            "telephone_number": "832-831-9094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 Fm 1488 Rd",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773843817",
            "country_code": "US",
            "telephone_number": "832-831-9094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6930 Fm 1960 Rd W",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770693702",
            "country_code": "US",
            "telephone_number": "832-831-9094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROVIDENCE PHYSICIAN ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-19",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "OTINWA",
        "authorized_official_first_name": "BABATUNDE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-831-9094"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brazos Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RapidClinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Providence Healthcare of TX (PHT Heal)
• Providence Home Dialysis LLC
• Providence Hospice Care Inc
• Providence Hospital of North Houston LLC
• Providence Pharmacy & Medical Supplies, Inc. (Providence Pharmacy)
• Providence RX Pharmacy LLC
• Providence Total Care LLC
• Providence Total Care LLC
• Providence Wellness Inc (Providence Medical & Mental Health Clinic)
• Providence Wound Care LLC

• Urgent Care Clinic/Center in Houston, TX
• Providers in Houston, 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 Nov 13, 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.