Provider Demographics
NPI:1689076119
Name:ONCALL EMERGENCY CENTER MEMORIAL VILLAGE LLC
Entity Type:Organization
Organization Name:ONCALL EMERGENCY CENTER MEMORIAL VILLAGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO FOUNDER, CEO& PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:JD,LLM,MBA
Authorized Official - Phone:713-357-4509
Mailing Address - Street 1:3901 BELLAIRE BLVD
Mailing Address - Street 2:STE A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-1100
Mailing Address - Country:US
Mailing Address - Phone:909-838-6522
Mailing Address - Fax:
Practice Address - Street 1:1014 WIRT RD
Practice Address - Street 2:STE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-6883
Practice Address - Country:US
Practice Address - Phone:909-838-6522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-16
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care