Provider Demographics
NPI:1235486721
Name:PRIORITY EMERGENCY PHYSICIANS- THE WOODLANDS PLLC
Entity Type:Organization
Organization Name:PRIORITY EMERGENCY PHYSICIANS- THE WOODLANDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:LENAE
Authorized Official - Middle Name:
Authorized Official - Last Name:AMERINE
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:832-299-2500
Mailing Address - Street 1:3759 FM 1488 SUITE 500
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77382
Mailing Address - Country:US
Mailing Address - Phone:832-299-2500
Mailing Address - Fax:832-299-2505
Practice Address - Street 1:3759 FM 1488
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382
Practice Address - Country:US
Practice Address - Phone:832-299-2500
Practice Address - Fax:832-299-2505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-14
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1158207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty