Healthcare Provider Details

I. General information

NPI: 1992172019
Provider Name (Legal Business Name): EMERGENCY HOSPITAL SYSTEMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2015
Last Update Date: 01/09/2023
Certification Date: 01/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1017 S TRAVIS AVE
CLEVELAND TX
77327-5152
US

IV. Provider business mailing address

1017 S TRAVIS AVE
CLEVELAND TX
77327-5152
US

V. Phone/Fax

Practice location:
  • Phone: 281-592-5400
  • Fax:
Mailing address:
  • Phone: 281-592-5400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number008404
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: SHANTI BANSAL
Title or Position: MANAGER
Credential: M.D.
Phone: 281-592-5400