Organization
CR EMERGENCY ROOM, LLC
Active
Parent organization
CR EMERGENCY ROOM, LLC
Other names
Baylor Scott & White Emergency Hospital Colleyville
Organization subpart
Yes
Provider details
NPI number
Legal business name
CR EMERGENCY ROOM, LLC
Authorized official
TINA JOHNSON (PROVIDER ENROLLMENT COORDINATOR)
(713) 929-2076
Entity
Organization
Contact information
Practice address
5500 COLLEYVILLE BLVD, COLLEYVILLE, TX 76034
(214) 294-6350
(713) 637-1305
Mailing address
8686 NEW TRAILS DR, SUITE 100, THE WOODLANDS, TX 77381-1176
(713) 929-2076
(281) 292-3585
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303478701
—
TX
Enumeration date
12/05/2013
Last updated
12/28/2024
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