Provider Demographics
NPI:1841563129
Name:PREFERRED EMERGENCY ROOM PHYSICIANS
Entity Type:Organization
Organization Name:PREFERRED EMERGENCY ROOM PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALIST - REVENUE
Authorized Official - Prefix:
Authorized Official - First Name:ELDA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAVARRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-331-2554
Mailing Address - Street 1:8901 FM 1960 BYPASS RD W STE 105B
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-4019
Mailing Address - Country:US
Mailing Address - Phone:364-331-2554
Mailing Address - Fax:346-331-2546
Practice Address - Street 1:8901 FM 1960 BYPASS RD W STE 105B
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4019
Practice Address - Country:US
Practice Address - Phone:281-608-0774
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-16
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty