Provider Demographics
NPI:1851893531
Name:ASCENT EMERGENCY MEDICAL CENTER LLC
Entity Type:Organization
Organization Name:ASCENT EMERGENCY MEDICAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:LITTLE JOHN BURNETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-703-7727
Mailing Address - Street 1:10101 SOUTHWEST FWY STE 400
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1134
Mailing Address - Country:US
Mailing Address - Phone:713-703-7727
Mailing Address - Fax:
Practice Address - Street 1:2280 HOLCOMBE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4224
Practice Address - Country:US
Practice Address - Phone:713-703-7727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-08
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000000000OtherSTATE LICENSE PENDING