Provider Demographics
NPI:1467897447
Name:AMERICA'S ER SITE 001, LLC
Entity Type:Organization
Organization Name:AMERICA'S ER SITE 001, LLC
Other - Org Name:AMERICA'S ER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:FEANNY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-895-6625
Mailing Address - Street 1:11200 BROADWAY ST
Mailing Address - Street 2:SUITE 2743
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-9785
Mailing Address - Country:US
Mailing Address - Phone:832-895-6625
Mailing Address - Fax:877-261-3390
Practice Address - Street 1:32784 FM 2978
Practice Address - Street 2:SUITE A
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354
Practice Address - Country:US
Practice Address - Phone:832-895-6625
Practice Address - Fax:877-261-3390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-06
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care