Provider Demographics
NPI:1215460738
Name:TEXAS EMERGENCY CARE CENTER
Entity type:Organization
Organization Name:TEXAS EMERGENCY CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:W
Authorized Official - Last Name:COUCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-653-3200
Mailing Address - Street 1:25202 NORTHWEST FWY STE H
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-1106
Mailing Address - Country:US
Mailing Address - Phone:832-653-3200
Mailing Address - Fax:832-653-2978
Practice Address - Street 1:25202 NORTHWEST FWY STE H
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1106
Practice Address - Country:US
Practice Address - Phone:832-653-3200
Practice Address - Fax:832-653-2978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-11
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QE0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care