Provider Demographics
NPI:1013449008
Name:ARIZONA EMERGENCY CENTER 01, LP
Entity type:Organization
Organization Name:ARIZONA EMERGENCY CENTER 01, LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BILLING, CODING,& IMP
Authorized Official - Prefix:
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-781-4500
Mailing Address - Street 1:PO BOX 1265
Mailing Address - Street 2:MSC#300
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77251-1265
Mailing Address - Country:US
Mailing Address - Phone:713-781-4500
Mailing Address - Fax:713-781-4800
Practice Address - Street 1:7285 E TANQUE VERDE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-3468
Practice Address - Country:US
Practice Address - Phone:713-781-4500
Practice Address - Fax:713-781-4800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-30
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care