Provider Demographics
NPI:1083189245
Name:FAIRMONT PKWY EMERGENCY CENTER, LLC
Entity Type:Organization
Organization Name:FAIRMONT PKWY EMERGENCY CENTER, LLC
Other - Org Name:NEIGHBORS EMERGENCY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:COTTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-219-3833
Mailing Address - Street 1:1535 WEST LOOP S
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-9512
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7215 FAIRMONT PKWY
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-4601
Practice Address - Country:US
Practice Address - Phone:281-487-0339
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALTUS HEALTH SYSTEM OPCO, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-10-03
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care