Provider Demographics
NPI:1316363336
Name:GREATER HOUSTON EMERGENCY PHYSICIANS PLLC
Entity Type:Organization
Organization Name:GREATER HOUSTON EMERGENCY PHYSICIANS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:SEAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-784-1500
Mailing Address - Street 1:PO BOX 301157
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75303-1157
Mailing Address - Country:US
Mailing Address - Phone:877-639-7611
Mailing Address - Fax:281-209-8930
Practice Address - Street 1:7515 GREENVILLE AVE
Practice Address - Street 2:SUITE 710
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-3831
Practice Address - Country:US
Practice Address - Phone:972-863-6100
Practice Address - Fax:281-289-8930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-14
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0046DEOtherBCBS-TX
TXCG5092Medicare PIN