Provider Demographics
NPI:1396223707
Name:AMERICA'S ER SITE 002 - UC, LLC
Entity Type:Organization
Organization Name:AMERICA'S ER SITE 002 - UC, LLC
Other - Org Name:AMERICA'S ER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:FEANNY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-850-6090
Mailing Address - Street 1:26203 OAK RIDGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1960
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13902 SPRING CYPRESS ROAD
Practice Address - Street 2:SUITE B
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429
Practice Address - Country:US
Practice Address - Phone:281-503-8161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-30
Last Update Date:2018-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care