Provider Demographics
NPI:1326179425
Name:TOWN CENTER ER, INC.
Entity Type:Organization
Organization Name:TOWN CENTER ER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:CULLEY
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-462-0911
Mailing Address - Street 1:820 S MACARTHUR BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-4216
Mailing Address - Country:US
Mailing Address - Phone:972-462-0911
Mailing Address - Fax:972-318-7421
Practice Address - Street 1:820 S MACARTHUR BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-4216
Practice Address - Country:US
Practice Address - Phone:972-462-0911
Practice Address - Fax:972-318-7421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
Not Answered261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care