1194064378 NPI number — GREATER HOUSTON EMERGENCY PHYSICIANS, PLLC

Table of content: (NPI 1194064378)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194064378 NPI number — GREATER HOUSTON EMERGENCY PHYSICIANS, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GREATER HOUSTON EMERGENCY PHYSICIANS, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194064378
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/11/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
211 HIGHLAND CROSS DR
Provider Second Line Business Mailing Address:
SUITE 275
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77073-1733
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-784-1500
Provider Business Mailing Address Fax Number:
281-209-8930

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10710 KUYKENDAHL RD
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
THE WOODLANDS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77381-2695
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-784-1500
Provider Business Practice Location Address Fax Number:
281-209-8930
Provider Enumeration Date:
02/07/2013

Additional Information

Authorized Official

Authorized Official Last Name:
SEAY
Authorized Official First Name:
TIMOTHY
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
281-784-1500

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0046DE . This is a "BCBSTX" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com