Lake Area Emergency Center LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

LAKE AREA EMERGENCY CENTER LLC

Doing business as

PHYSICIANS ER LAKE AREA

Practice address

18057 Highway 105 W
Montgomery, TX 77356-5985

Phone

(713) 838-0800

Fax

(713) 838-0887

NPI assigned

Feb 1, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Tammy T Kerchner

Title

Pricess Improvement Manager

Phone

(713) 838-0800

Specialties & licenses 1

Addresses

Other names 1

• PHYSICIANS ER LAKE AREA Doing business as

Locations

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1972842524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18057 HIGHWAY 105 W",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773565985",
            "telephone_number": "713-838-0800",
            "fax_number": "713-838-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18057 HIGHWAY 105 W",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773565985",
            "telephone_number": "713-838-0800",
            "fax_number": "713-838-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE AREA EMERGENCY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-01",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "KERCHNER",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRICESS IMPROVEMENT MANAGER",
        "authorized_official_telephone_number": "713-838-0800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHYSICIANS ER LAKE AREA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lakeside Pharmacy LLC
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• Emergency Care Clinic/Center in Montgomery, TX
• Providers in Montgomery, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.