Healthcare Provider Details

I. General information

NPI: 1326910597
Provider Name (Legal Business Name): ARCHVIEW EP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2025
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 N JEFFERSON AVE
SAINT LOUIS MO
63106-2111
US

IV. Provider business mailing address

6030 S RICE AVE STE C
HOUSTON TX
77081-2944
US

V. Phone/Fax

Practice location:
  • Phone: 314-664-9100
  • Fax:
Mailing address:
  • Phone: 713-660-0557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: KEELYN MARLATT
Title or Position: DIRECTOR OF REVENUE CYCLE
Credential:
Phone: 713-660-0557