NPI | 1083147490 |
---|---|
Doing Business As | PORTER EMERGENCY ROOM |
Entity Type | Organization |
Authorized Contact | RAVI MOPARTY Member 832-326-8032 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care |
Enumeration Date | 2017-04-04 |
Last Update Date | 2017-04-04 |