Organization Name: | PERMIAN BASIN ER I |
NPI Number: | 1033508379 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PRISCILLA BRIGGS (OPERATIONS MANAGER) |
Mailing Address: | 3415 N Loop 250 W Midland |
State: | TX US |
Postal Code: | 797076001 |
Phone Number: | 4326990911 |
Fax Number: | |
NPI Enumeration Date: | 01/09/2015 |
NPI Last Update Date: | 10/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0002X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Emergency Care |
Taxonomy Definition: |