NPI | 1891210639 |
---|---|
Doing Business As | ALLY MEDICAL EMERGENCY ROOM CLEAR LAKE |
Other Name | ALLY MEDICAL |
Other Name | PHYSICIANS PREMIER |
Entity Type | Organization |
Authorized Contact | JARED T SHAHAN Governing Board Member 512-451-0911 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care (Licence: TX 160329) |
Enumeration Date | 2017-08-12 |
Last Update Date | 2024-03-22 |