Provider Demographics
NPI:1114655750
Name:HEALTHCARE HL EMERGENCY SERVICES, LLC
Entity Type:Organization
Organization Name:HEALTHCARE HL EMERGENCY SERVICES, LLC
Other - Org Name:WYLIE ER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CAO
Authorized Official - Prefix:
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:ACOSTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-469-2500
Mailing Address - Street 1:4780 STATE HIGHWAY 121
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-2913
Mailing Address - Country:US
Mailing Address - Phone:214-469-2500
Mailing Address - Fax:469-722-5457
Practice Address - Street 1:508 S STATE HWY 78
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098
Practice Address - Country:US
Practice Address - Phone:469-782-0620
Practice Address - Fax:469-782-0655
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTHCARE HL EMERGENCY SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-11
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital