Organization
EBD BEMC BURLESON, LLC
Active
Other names
Baylor Scott & White Emergency Hospital Burleson
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA JOHNSON (SR MED STAFF & PROVIDER ENROLLMENT)
(713) 637-1146
Entity
Organization
Contact information
Practice address
12500 SOUTH FWY, SUITE 100, BURLESON, TX 76028-7004
(214) 294-6250
(713) 637-1305
Mailing address
8686 NEW TRAILS DR, SUITE 100, THE WOODLANDS, TX 77381-1176
(716) 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
05
—
348928802
—
TX
Enumeration date
11/22/2013
Last updated
05/10/2024
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