Provider Demographics
NPI:1982069878
Name:SUBLIME CARE EMERGENCY ROOM,LLC
Entity Type:Organization
Organization Name:SUBLIME CARE EMERGENCY ROOM,LLC
Other - Org Name:RIGHT CHOICE EMERGENCY ROOM
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMIN CONTACT
Authorized Official - Prefix:
Authorized Official - First Name:QASIM
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-696-9404
Mailing Address - Street 1:PO BOX 733227
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-3227
Mailing Address - Country:US
Mailing Address - Phone:832-696-9404
Mailing Address - Fax:832-559-6617
Practice Address - Street 1:2490 FM 2920 RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-3417
Practice Address - Country:US
Practice Address - Phone:281-353-0911
Practice Address - Fax:281-351-7230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-21
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QE0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care