Organization
EMPRISE NETWORK LLC
Active
Other names
Mont Belvieu Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
ROSANNA H KALLAY PHD(C) (DIRECTOR)
(281) 705-5882
Entity
Organization
Contact information
Practice address
9235 N HIGHWAY 146, SUITE 2, MONT BELVIEU, TX 77523-7876
(281) 385-8111
(832) 307-7102
Mailing address
9235 N HIGHWAY 146, SUITE 2, MONT BELVIEU, TX 77523-7876
(281) 385-8111
(832) 307-7102
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
L9314
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204225101
—
TX
Enumeration date
03/04/2016
Last updated
03/04/2016
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