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NPI Code Detail

MEDICARE: BELLAIRE EMERGENCY CENTER, LLC

MEDICARE: BELLAIRE EMERGENCY CENTER, LLC
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
1207P00000XEmergency Medicine Physician

General Provider Information

NPI Number : 1912472929
Entity Type Code : Organization
Provider Name (Legal Business Name) : BELLAIRE EMERGENCY CENTER, LLC
Provider Business Mailing Address
First Line : 5413 S RICE AVE
Second Line :
City : HOUSTON
State : TX
Zip : 77081-2113
Country : US
Telephone Number : 713-669-9900
Fax Number :
Provider Business Practice Location Address
First Line : 5413 S RICE AVE
Second Line :
City : HOUSTON
State : TX
Zip : 77081-2113
Country : US
Telephone Number : 713-669-9900
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF OPERATIONS
Name : MS. DARLEEN CALLAHAN
Credential :
Telephone Number : 832-699-3777
Provider Enumeration Date : 10/05/2018
Last Update Date : 10/05/2018

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Directions to “BELLAIRE EMERGENCY CENTER, LLC ” Practice Location

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