Provider Demographics
NPI:1922389030
Name:URGENT CARE EMS
Entity Type:Organization
Organization Name:URGENT CARE EMS
Other - Org Name:URGENT CARE ADULT DAY FACILITY
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ENA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:COWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-883-4001
Mailing Address - Street 1:2718 FIELDCROSS LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77047-7546
Mailing Address - Country:US
Mailing Address - Phone:832-883-4001
Mailing Address - Fax:832-201-8666
Practice Address - Street 1:2718 FIELDCROSS LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77047-7546
Practice Address - Country:US
Practice Address - Phone:832-883-4001
Practice Address - Fax:832-201-8666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-01
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness