# ER PROFESSIONAL FEE BILLING C/O SLIDELL MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700815867
- **Authorized official:** MR. BILL DAVIS (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (985) 649-8504

## Contact information

- **Practice address:** 300 KITTY HAWK RD, UNIVERSAL CITY, TX 78148-3906
- **Practice address phone:** (210) 566-5555
- **Practice address fax:** (210) 566-2287
- **Mailing address:** 300 KITTY HAWK RD, UNIVERSAL CITY, TX 78148-3906
- **Mailing address phone:** (210) 566-5555
- **Mailing address fax:** (210) 566-2287

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/01/2006
- **Last updated:** 07/16/2007