Provider Demographics
NPI:1720337793
Name:PHYSICIAN ER LP
Entity type:Organization
Organization Name:PHYSICIAN ER LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROCESS IMPROVEMENT MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:T
Authorized Official - Last Name:KERCHNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-838-0800
Mailing Address - Street 1:6750 WEST LOOP S
Mailing Address - Street 2:STE 950
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4103
Mailing Address - Country:US
Mailing Address - Phone:713-838-0800
Mailing Address - Fax:713-838-0887
Practice Address - Street 1:6191 E SAM HOUSTON PKWY N
Practice Address - Street 2:STE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77049-7201
Practice Address - Country:US
Practice Address - Phone:713-838-0800
Practice Address - Fax:713-838-0887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-05
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherEIN