Provider Demographics
NPI:1750644746
Name:ERCA LITTLE ELM LLC
Entity Type:Organization
Organization Name:ERCA LITTLE ELM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/COO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCGEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-619-2060
Mailing Address - Street 1:6501 PRESTON RD
Mailing Address - Street 2:STE 102
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-2610
Mailing Address - Country:US
Mailing Address - Phone:972-403-1155
Mailing Address - Fax:972-608-0844
Practice Address - Street 1:2700 E ELDORADO PKWY
Practice Address - Street 2:STE 104
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-0000
Practice Address - Country:US
Practice Address - Phone:972-987-4395
Practice Address - Fax:972-987-4768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-24
Last Update Date:2014-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QE0002X
TX160056261QE0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care