Provider Demographics
NPI:1740602820
Name:ST. ANTHONY'S MINOR EMERGENCY CENTER LLC
Entity Type:Organization
Organization Name:ST. ANTHONY'S MINOR EMERGENCY CENTER LLC
Other - Org Name:ST. ANTHONY'S DIAGNOSTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GREGG
Authorized Official - Middle Name:
Authorized Official - Last Name:SAXE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-364-1000
Mailing Address - Street 1:6300 RICHMOND AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-5931
Mailing Address - Country:US
Mailing Address - Phone:713-364-1000
Mailing Address - Fax:713-364-1010
Practice Address - Street 1:6300 RICHMOND AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-5931
Practice Address - Country:US
Practice Address - Phone:713-364-1000
Practice Address - Fax:713-364-1010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-09
Last Update Date:2014-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology