Provider Demographics
NPI:1609248186
Name:LPH HEALTHCARE, LLC
Entity Type:Organization
Organization Name:LPH HEALTHCARE, LLC
Other - Org Name:LAREDO EMERGENCY ROOM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:DHARMESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-590-0640
Mailing Address - Street 1:2425 WEST LOOP S
Mailing Address - Street 2:SUITE 840
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-4205
Mailing Address - Country:US
Mailing Address - Phone:713-590-0640
Mailing Address - Fax:
Practice Address - Street 1:7510 MCPHERSON RD.
Practice Address - Street 2:SUITE 101
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041
Practice Address - Country:US
Practice Address - Phone:956-242-6790
Practice Address - Fax:866-865-0063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-23
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QE0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care