MEDICARE: GREATER HOUSTON EMERGENCY PHYSICIANS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0046DE	OTHER	TX	BCBTSX

General Provider Information

NPI Number	:	1013251834
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREATER HOUSTON EMERGENCY PHYSICIANS, PLLC

Provider Business Mailing Address
First Line	:	211 HIGHLAND CROSS DR
Second Line	:	SUITE 275
City	:	HOUSTON
State	:	TX
Zip	:	77073-1733
Country	:	US
Telephone Number	:	281-784-1500
Fax Number	:	281-784-1653

Provider Business Practice Location Address
First Line	:	3251 I 45 N
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77304-2185
Country	:	US
Telephone Number	:	281-784-1500
Fax Number	:	281-784-1653

Authorized Official
Title or Position	:	CEO
Name	:	TIMOTHY SEAY
Credential	:
Telephone Number	:	281-784-1500

Provider Enumeration Date	:	11/16/2012
Last Update Date	:	02/11/2015

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