# EBD BEMC BURLESON, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Baylor Scott & White Emergency Hospital Burleson
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679903967
- **Authorized official:** MRS. TINA JOHNSON (SR MED STAFF & PROVIDER ENROLLMENT)
- **Authorized official phone:** (713) 637-1146

## Contact information

- **Practice address:** 12500 SOUTH FWY, SUITE 100, BURLESON, TX 76028-7004
- **Practice address phone:** (214) 294-6250
- **Practice address fax:** (713) 637-1305
- **Mailing address:** 8686 NEW TRAILS DR, SUITE 100, THE WOODLANDS, TX 77381-1176
- **Mailing address phone:** (716) 637-1144
- **Mailing address fax:** (281) 292-3585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 11/22/2013
- **Last updated:** 05/10/2024