1043296932 NPI number — GREATER TEXAS EMERGENCY CONSULTANTS, P.A.

Table of content: (NPI 1043296932)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043296932 NPI number — GREATER TEXAS EMERGENCY CONSULTANTS, P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GREATER TEXAS EMERGENCY CONSULTANTS, P.A.
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:
1043296932
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 4296
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77210-4296
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-494-4832
Provider Business Mailing Address Fax Number:
281-494-7399

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4200 TWELVE OAKS DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77027-6812
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-494-4832
Provider Business Practice Location Address Fax Number:
281-494-4010
Provider Enumeration Date:
12/21/2005

Additional Information

Authorized Official

Authorized Official Last Name:
STARR
Authorized Official First Name:
GREGORY
Authorized Official Middle Name:
ALLEN
Authorized Official Title or Position:
PRESIDENT & CEO
Authorized Official Telephone Number:
281-494-4832

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: 00496N . This is a "MEDICARE ID-TYPE UNSPECIF" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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