MEDICARE: MERCY EMERGENCY ROOM

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	261QE0002X	Emergency Care Clinic/Center

General Provider Information

NPI Number	:	1487361317
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY EMERGENCY ROOM

Provider Business Mailing Address
First Line	:	222 HIGHWAY 6
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-4994
Country	:	US
Telephone Number	:	470-426-3804
Fax Number	:

Provider Business Practice Location Address
First Line	:	222 HIGHWAY 6
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-4994
Country	:	US
Telephone Number	:	470-726-3804
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	DR. BAMIDELE ADEYEMO
Credential	:	MD
Telephone Number	:	470-426-3804

Provider Enumeration Date	:	10/31/2022
Last Update Date	:	01/19/2024

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Directions to “MERCY EMERGENCY ROOM ” Practice Location

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