Healthcare Provider Details

I. General information

NPI: 1801249727
Provider Name (Legal Business Name): NEC AURORA EMERGENCY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2016
Last Update Date: 07/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11951 E ILIFF AVE
AURORA CO
80014-4925
US

IV. Provider business mailing address

PO BOX 4418 MSC 900
HOUSTON TX
77210-4418
US

V. Phone/Fax

Practice location:
  • Phone: 713-781-4500
  • Fax: 713-781-4800
Mailing address:
  • Phone: 713-781-4500
  • Fax: 713-781-4800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRANDY PERRY
Title or Position: DIRECTOR OF BILLING AND COLLECTIONS
Credential:
Phone: 713-781-4500