Organization
EBD BEMC BURLESON, LLC
Active
Parent organization
EBD BEMC BURLESON, LLC
Other names
Baylor Emergency Medical Center at Mansfield
Organization subpart
Yes
Provider details
NPI number
Legal business name
EBD BEMC BURLESON, LLC
Authorized official
MRS. TINA JOHNSON (PROVIDER ENROLLMENT COORDINATOR)
(713) 929-2076
Entity
Organization
Contact information
Practice address
1776 HIGHWAY 287 N STE 100, MANSFIELD, TX 76063-7628
Mailing address
8686 NEW TRAILS DR, SUITE 100, THE WOODLANDS, TX 77381-1176
(713) 637-1144
(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
—
348928801
—
TX
Enumeration date
12/05/2013
Last updated
05/10/2024
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