Healthcare Provider Details
I. General information
NPI: 1407169196
Provider Name (Legal Business Name): AMH CATH LABS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/22/2010
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
811 WRIGHT ST
ARLINGTON TX
76012
US
IV. Provider business mailing address
500 E BORDER ST
ARLINGTON TX
76010-7445
US
V. Phone/Fax
- Phone: 972-419-6704
- Fax: 972-419-8118
- Phone: 214-345-7260
- Fax: 682-236-4620
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QA1903X |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| License Number | 100073 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | 100073 |
| License Number State | TX |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 284300000X |
| Taxonomy | Special Hospital |
| License Number | |
| License Number State | TX |
VIII. Authorized Official
Name:
SHERRI
EMERSON
Title or Position: VP COO
Credential:
Phone: 817-960-3551