TC Jester Emergency Center, LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

160238 Issued in TX

Legal business name

TC JESTER EMERGENCY CENTER, LLC

Practice address

1925 E T C Jester Blvd
Houston, TX 77008-1551

Phone

(832) 742-0072

Fax

(281) 752-7961

NPI assigned

Feb 25, 2016

Organization subpart

No

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

Authorized official

Name

Darleen Callahan

Title

Director of Operations

Phone

(832) 699-3777

Specialties & licenses 1

Addresses

Other names 2

• SIGNATURECARE EMERGENCY CENTER Doing business as
• Signature Care Emergency Center - TC Jester Doing business as

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1104286780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733068",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733068",
            "telephone_number": "832-699-3777",
            "fax_number": "713-966-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 E T C JESTER BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081551",
            "telephone_number": "832-742-0072",
            "fax_number": "281-752-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TC JESTER EMERGENCY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "DARLEEN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "832-699-3777"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "160238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIGNATURECARE EMERGENCY CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SIGNATURECARE EMERGENCY CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Signature Care Emergency Center - TC Jester",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nawar Tayyan, M.D.
• Hosna Tazehzadeh, PT, DPT
• Larisa Akaseng Tazoa
• TBD, PLLC
• TC Care Ambulance Services Inc
• TC North PLLC
• TCC Global
• TCCT Rentals LLC
• TCG Clinic, LLC
• TCG Clinic, LLC

• Emergency Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.