NPIMap

Organization Active NPI

Emprise Network LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Mont Belvieu, TX
National Provider Identifier
1073973913
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
L9314 Issued in TX
Legal business name
EMPRISE NETWORK LLC
Practice address
9235 N Highway 146
Suite 2
Mont Belvieu, TX 77523-7876
Phone
(281) 385-8111
Fax
(832) 307-7102
NPI assigned
Mar 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rosanna H Kallay, PHD(C)
Title
Director
Phone
(281) 705-5882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PE0004X L9314 TX Primary

Addresses

Primary practice location

9235 N Highway 146
Suite 2
Mont Belvieu, TX 77523-7876

Mailing address

9235 N Highway 146
Suite 2
Mont Belvieu, TX 77523-7876
Phone (281) 385-8111

Other identifiers 1

IdentifierTypeStateIssuer
204225101MedicaidTX

Other names 1

  • Mont Belvieu Urgent Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1073973913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9235 N HIGHWAY 146",
            "address_2": "SUITE 2",
            "city": "MONT BELVIEU",
            "state": "TX",
            "postal_code": "775237876",
            "telephone_number": "281-385-8111",
            "fax_number": "832-307-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9235 N HIGHWAY 146",
            "address_2": "SUITE 2",
            "city": "MONT BELVIEU",
            "state": "TX",
            "postal_code": "775237876",
            "telephone_number": "281-385-8111",
            "fax_number": "832-307-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPRISE NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "KALLAY",
        "authorized_official_first_name": "ROSANNA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "281-705-5882",
        "authorized_official_credential": "PHD(C)"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TX",
            "license": "L9314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204225101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mont Belvieu Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mont Belvieu, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.