Provider Demographics
NPI:1497250757
Name:WESTCHASE EMERGENCY CENTER, LLC
Entity Type:Organization
Organization Name:WESTCHASE EMERGENCY CENTER, LLC
Other - Org Name:SIGNATURECARE EMERGENCY CENTER - WESTCHASE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:COVERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-699-3777
Mailing Address - Street 1:PO BOX 733822
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-3822
Mailing Address - Country:US
Mailing Address - Phone:832-699-3777
Mailing Address - Fax:713-966-6972
Practice Address - Street 1:11103 WESTHEIMER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042
Practice Address - Country:US
Practice Address - Phone:832-708-3651
Practice Address - Fax:832-415-0279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-28
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty