Organization Name: | PREMIER ER PLUS, LLC |
NPI Number: | 1770991580 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN B HAMILTON (PRESIDENT) |
Mailing Address: | 9110 Jordan Lane Ste 100 Woodway |
State: | TX US |
Postal Code: | 767123370 |
Phone Number: | 2543990740 |
Fax Number: | 2543990736 |
NPI Enumeration Date: | 07/24/2014 |
NPI Last Update Date: | 10/01/2014 |
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: |