Provider Demographics
NPI:1679979595
Name:NEC BEAUMONT EMERGENCY CENTER
Entity type:Organization
Organization Name:NEC BEAUMONT EMERGENCY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SETUL
Authorized Official - Middle Name:G
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-436-5200
Mailing Address - Street 1:11130 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-9754
Mailing Address - Country:US
Mailing Address - Phone:713-436-5200
Mailing Address - Fax:832-553-8064
Practice Address - Street 1:4755 EASTEX FWY
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-7115
Practice Address - Country:US
Practice Address - Phone:713-436-5200
Practice Address - Fax:832-553-8064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-05
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care