Provider Demographics
NPI:1164030466
Name:ST ANTHONYS EMERGENCY ROOM KATY
Entity Type:Organization
Organization Name:ST ANTHONYS EMERGENCY ROOM KATY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:MACKEY MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-257-4709
Mailing Address - Street 1:25910 WESTHEIMER PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-5391
Mailing Address - Country:US
Mailing Address - Phone:346-257-4709
Mailing Address - Fax:
Practice Address - Street 1:25910 WESTHEIMER PKWY STE 100
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-5391
Practice Address - Country:US
Practice Address - Phone:346-257-4709
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-22
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care