Provider Demographics
NPI:1598122061
Name:NEC PORTER EMERGENCY CENTER, LP
Entity Type:Organization
Organization Name:NEC PORTER EMERGENCY CENTER, LP
Other - Org Name:PORTER EMERGENCY CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF BILLING
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 1:22678 US HIGHWAY 59
Mailing Address - Street 2:
Mailing Address - City:PORTER
Mailing Address - State:TX
Mailing Address - Zip Code:77365
Mailing Address - Country:US
Mailing Address - Phone:281-354-4654
Mailing Address - Fax:281-354-4678
Practice Address - Street 1:11200 BROADWAY ST
Practice Address - Street 2:STE.2320
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-9785
Practice Address - Country:US
Practice Address - Phone:713-781-4500
Practice Address - Fax:713-781-4800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-28
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care