Provider Demographics
NPI:1427402684
Name:NEC WICHITA FALLS EMERGENCY CENTER, LP
Entity Type:Organization
Organization Name:NEC WICHITA FALLS EMERGENCY CENTER, LP
Other - Org Name:WICHITA FALLS EMERGENCY CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF BILLING AND COLLECTIONS
Authorized Official - Prefix:
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-781-4500
Mailing Address - Street 1:11200 BROADWAY ST
Mailing Address - Street 2:STE. 2320
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-9785
Mailing Address - Country:US
Mailing Address - Phone:713-781-4500
Mailing Address - Fax:713-781-4800
Practice Address - Street 1:3939 KELL BLVD
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76307-0000
Practice Address - Country:US
Practice Address - Phone:940-689-2060
Practice Address - Fax:713-781-4800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-14
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care