1235486721 NPI number — PRIORITY EMERGENCY PHYSICIANS- THE WOODLANDS PLLC

Table of content: MRS. LYNDEE JO ARIAS RN (NPI 1467248641)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235486721 NPI number — PRIORITY EMERGENCY PHYSICIANS- THE WOODLANDS PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PRIORITY EMERGENCY PHYSICIANS- THE WOODLANDS 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:
1235486721
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/20/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3759 FM 1488 SUITE 500
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
THE WOODLANDS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77382
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-299-2500
Provider Business Mailing Address Fax Number:
832-299-2505

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3759 FM 1488
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
THE WOODLANDS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77382
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-299-2500
Provider Business Practice Location Address Fax Number:
832-299-2505
Provider Enumeration Date:
08/14/2012

Additional Information

Authorized Official

Authorized Official Last Name:
AMERINE
Authorized Official First Name:
LENAE
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF OPERATIONS
Authorized Official Telephone Number:
832-299-2500

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X , with the licence number:  M1158 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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