Excel Er

LBN: Piney Woods Er Iii Llc
Excel Er is an health care organization with primary practice located at 4102 Gibson Lane , Texarkana TX 75503. The organization recently has only one registered license in Ambulatory Health Care Facilities / Emergency Care, which is considered as the primary health care specialty. Piney Woods Er Iii Llc can be contacted via phone (903) 792-0911, or through Kwon, Christopher via phone (903) 792-0911.

Contact Information

Primary practice address
4102 Gibson Lane Texarkana TX 75503
Phone: (903) 792-0911
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kwon, Christopher Doctor of Medicine (MD)
Phone: (903) 792-0911

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Emergency Care 261QE0002X

Profile Details

NPI number 1699151514
LBN Legal business name Piney Woods Er Iii Llc
DBA Doing business as Excel Er
Authorized official Kwon, Christopher Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2015
Last updated Sep 1st, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699151514 NPPES
Texas Other 160258 DEPARTMENT OF STATE HEALTH SERVICES

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