Organization Active NPI

Memorial City Emergency Center LLC

  • Emergency Medicine Physician
  • Houston, TX
National Provider Identifier
1457701591
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
160262 Issued in TX
Legal business name
MEMORIAL CITY EMERGENCY CENTER LLC
Practice address
1014 Wirt Rd
200
Houston, TX 77055-6883
Phone
(832) 834-6414
NPI assigned
Jun 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Authorized official

Name
Ms. Kathryn Covert, CEO
Title
Ceo
Phone
(832) 699-3777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 160262 TX Primary

Addresses

Primary practice location

1014 Wirt Rd
200
Houston, TX 77055-6883

Mailing address

PO Box 733313
Dallas, TX 75373-3313
Phone (832) 834-6414

Other names 1

  • SIGNATURECARE EMERGENCY CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

1014 Wirt Rd
Houston, TX 77055
Phone (832) 834-6414

Practitioners 1

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": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1457701591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733313",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733313",
            "telephone_number": "832-834-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 WIRT RD",
            "address_2": "200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770556883",
            "telephone_number": "832-834-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL CITY EMERGENCY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "COVERT",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-699-3777",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "160262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIGNATURECARE EMERGENCY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.