Provider Demographics
NPI:1528369642
Name:EMERGENCY CARE SPECIALISTS, PA
Entity Type:Organization
Organization Name:EMERGENCY CARE SPECIALISTS, PA
Other - Org Name:ECS
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:JASON
Authorized Official - Last Name:FILLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-543-0012
Mailing Address - Street 1:10507 E WILDWIND CIR
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-4043
Mailing Address - Country:US
Mailing Address - Phone:281-543-0012
Mailing Address - Fax:281-605-4566
Practice Address - Street 1:10507 E WILDWIND CIR
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-4043
Practice Address - Country:US
Practice Address - Phone:281-543-0012
Practice Address - Fax:281-605-4566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-04
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8150207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty