Provider Demographics
NPI:1598186686
Name:SUGAR LAND MISSION BEND EMERGENCY CENTER, PLLC
Entity Type:Organization
Organization Name:SUGAR LAND MISSION BEND EMERGENCY CENTER, PLLC
Other - Org Name:SIGNATURE CARE EMERGENCY CENTER, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KANTI
Authorized Official - Middle Name:
Authorized Official - Last Name:BANSAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-699-3777
Mailing Address - Street 1:MSC #500 PO BOX 4345
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4345
Mailing Address - Country:US
Mailing Address - Phone:281-258-4351
Mailing Address - Fax:832-288-5733
Practice Address - Street 1:8910 HIGHWAY 6 S
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-6339
Practice Address - Country:US
Practice Address - Phone:281-258-4351
Practice Address - Fax:832-288-5733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-17
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty