Provider Demographics
NPI:1457706632
Name:NEC COLLEGE STATION EMERGENCY, LP
Entity Type:Organization
Organization Name:NEC COLLEGE STATION EMERGENCY, LP
Other - Org Name:COLLEGE STATION EMERGENCY CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF BILLING AND COLLECTIONS
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 1:10800 RICHMOND AVE
Mailing Address - Street 2:FLOOR 3
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-4794
Mailing Address - Country:US
Mailing Address - Phone:713-781-4500
Mailing Address - Fax:713-781-4800
Practice Address - Street 1:1289 UNIVERSITY DR.
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77840-1559
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:2016-04-26
Last Update Date:2016-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care