Basic Information
Provider Information
NPI: 1386225266
EntityType: 2
ReplacementNPI:  
OrganizationName: NLUC PLLC DBA NEXT LEVEL URGENT CARE
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
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Mailing Information
Address1: 16107 KENSINGTON DR STE 126
Address2:  
City: SUGAR LAND
State: TX
PostalCode: 774794224
CountryCode: US
TelephoneNumber: 2817838162
FaxNumber: 7134397995
Practice Location
Address1: 4435 KINGWOOD DR
Address2:  
City: KINGWOOD
State: TX
PostalCode: 773393701
CountryCode: US
TelephoneNumber: 2817838162
FaxNumber: 7134397995
Other Information
ProviderEnumerationDate: 04/21/2021
LastUpdateDate: 04/21/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: BREEZE
AuthorizedOfficialFirstName: JULIET
AuthorizedOfficialMiddleName: S
AuthorizedOfficialTitleorPosition: CEO
AuthorizedOfficialTelephone: 2812010657
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate: 04/21/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261QU0200X  Y Ambulatory Health Care FacilitiesClinic/CenterUrgent Care

No ID Information.


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