Provider Demographics
NPI:1619346335
Name:NEC PORT ARTHUR EMERGENCY CENTER, LP
Entity Type:Organization
Organization Name:NEC PORT ARTHUR EMERGENCY CENTER, LP
Other - Org Name:PORT ARTHUR 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 1:3330 HIGHWAY 365
Mailing Address - Street 2:
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77642-7705
Mailing Address - Country:US
Mailing Address - Phone:409-722-9554
Mailing Address - Fax:409-722-9973
Practice Address - Street 1:11200 BROADWAY ST STE 2320
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-9786
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:2015-09-23
Last Update Date:2015-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care