Provider Demographics
NPI:1295388072
Name:ERNEAR ME HIGHLAND VIILLAGE LLC
Entity Type:Organization
Organization Name:ERNEAR ME HIGHLAND VIILLAGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:BROWNFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-548-0351
Mailing Address - Street 1:2160 JUSTIN RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-7163
Mailing Address - Country:US
Mailing Address - Phone:214-548-0351
Mailing Address - Fax:
Practice Address - Street 1:2160 JUSTIN RD
Practice Address - Street 2:
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-7163
Practice Address - Country:US
Practice Address - Phone:214-548-0351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-19
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care