Provider Demographics
NPI:1851780373
Name:NEC ORANGE EMERGENCY CENTER, LP
Entity Type:Organization
Organization Name:NEC ORANGE EMERGENCY CENTER, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SETUL
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-436-5200
Mailing Address - Street 1:11200 BROADWAY ST
Mailing Address - Street 2:STE. 2320
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-9785
Mailing Address - Country:US
Mailing Address - Phone:713-436-5200
Mailing Address - Fax:
Practice Address - Street 1:1321 N 16TH ST
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:TX
Practice Address - Zip Code:77630-3609
Practice Address - Country:US
Practice Address - Phone:713-436-5200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-21
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care