Provider Demographics
NPI:1376993857
Name:PRIMECARE EMERGENCY CENTER - ARLINGTON LLC
Entity Type:Organization
Organization Name:PRIMECARE EMERGENCY CENTER - ARLINGTON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FACILITY ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCISCO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:682-323-8899
Mailing Address - Street 1:3130 GRANTS LAKE BLVD UNIT 18917
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77496-0930
Mailing Address - Country:US
Mailing Address - Phone:682-323-8899
Mailing Address - Fax:
Practice Address - Street 1:5912 S COOPER ST STE 110
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-4498
Practice Address - Country:US
Practice Address - Phone:682-323-8899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-15
Last Update Date:2016-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital