Provider Demographics
NPI:1609823483
Name:E CARE EMERGENCY FRISCO LLC
Entity Type:Organization
Organization Name:E CARE EMERGENCY FRISCO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MELODY
Authorized Official - Middle Name:
Authorized Official - Last Name:BURK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-548-7277
Mailing Address - Street 1:2810 S HARDIN BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-7490
Mailing Address - Country:US
Mailing Address - Phone:972-548-7277
Mailing Address - Fax:972-547-0038
Practice Address - Street 1:8837 LEBANON RD
Practice Address - Street 2:SUITE 800
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4062
Practice Address - Country:US
Practice Address - Phone:972-731-5151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ECARE MANAGEMENT COMPANY LP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-27
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0048SQOtherBLUE CROSS
TX0048SQOtherBLUE CROSS
TXOA3745Medicare PIN
TX00906XMedicare PIN