| Organization Name: | CHIC LARKIN VENTURES, LLC |
| NPI Number: | 1003275553 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KELLY LARKIN (CEO) |
| Mailing Address: | 6800 West Loop S 300 Bellaire |
| State: | TX US |
| Postal Code: | 774014528 |
| Phone Number: | 7138380800 |
| Fax Number: | |
| NPI Enumeration Date: | 02/12/2016 |
| NPI Last Update Date: | 03/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |