Provider Demographics
NPI:1023495207
Name:ONCALL EMERGENCY CENTER CIRCLE C LLC
Entity type:Organization
Organization Name:ONCALL EMERGENCY CENTER CIRCLE C LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PAS
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:GRACE
Authorized Official - Last Name:URIARTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-838-6522
Mailing Address - Street 1:3901 BELLAIRE BLVD
Mailing Address - Street 2:STE A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-1100
Mailing Address - Country:US
Mailing Address - Phone:512-651-6410
Mailing Address - Fax:
Practice Address - Street 1:5701 W. SLAUGHTER LANE
Practice Address - Street 2:BLG G STE 101
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749
Practice Address - Country:US
Practice Address - Phone:512-651-6410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-27
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care