Provider Demographics
NPI:1093808651
Name:TEXAS MINOR EMERGENCY CENTER, LP
Entity Type:Organization
Organization Name:TEXAS MINOR EMERGENCY CENTER, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT REP.
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SALEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-363-3156
Mailing Address - Street 1:2441 HIGH TIMBERS RD, SUITE #300
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380
Mailing Address - Country:US
Mailing Address - Phone:281-363-3156
Mailing Address - Fax:281-419-1244
Practice Address - Street 1:827 S. MAGNOLIA BLVD., #6
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77355
Practice Address - Country:US
Practice Address - Phone:281-363-3156
Practice Address - Fax:281-419-1244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
00817XMedicare ID - Type Unspecified