Provider Demographics
NPI:1457701591
Name:MEMORIAL CITY EMERGENCY CENTER LLC
Entity Type:Organization
Organization Name:MEMORIAL CITY EMERGENCY CENTER LLC
Other - Org Name:SIGNATURECARE EMERGENCY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:COVERT
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:832-699-3777
Mailing Address - Street 1:PO BOX 733313
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-3313
Mailing Address - Country:US
Mailing Address - Phone:832-834-6414
Mailing Address - Fax:
Practice Address - Street 1:1014 WIRT RD
Practice Address - Street 2:200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-6883
Practice Address - Country:US
Practice Address - Phone:832-834-6414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-20
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX160262207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty