Organization
PHYSICIAN ACUTE CARE SERVICES KINGWOOD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA SHORT MD (CEO)
(832) 653-3200
Entity
Organization
Contact information
Practice address
23330 HIGHWAY 59 N, KINGWOOD, TX 77339-4471
(832) 653-3200
(832) 653-2978
Mailing address
PO BOX 190, NEW WAVERLY, TX 77358-0190
(713) 808-9176
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZGPPOX
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/29/2017
Last updated
10/05/2023
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