Provider Demographics
NPI:1932554110
Name:NEC LONGVIEW EMERGENCY CENTER, LP
Entity Type:Organization
Organization Name:NEC LONGVIEW EMERGENCY CENTER, LP
Other - Org Name:LONGVIEW 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 1:11200 BROADWAY ST
Mailing Address - Street 2:STE. 2320
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-9785
Mailing Address - Country:US
Mailing Address - Phone:713-781-4500
Mailing Address - Fax:713-781-4800
Practice Address - Street 1:1801 W. LOOP 281
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75604
Practice Address - Country:US
Practice Address - Phone:903-297-5667
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:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care