PINEY WOODS ER LLC NPI 1215325642

NPI Information

NPI: 1215325642
Provider Name: PINEY WOODS ER LLC

Doing Business As: EXCEL ER

Classification: Clinic/Center - 261QE0002X
Entity Type: Organization

Specialization: Emergency Care

Address:
6718 S BROADWAY AVE
TYLER, TX
ZIP 75703
Phone: (903) 509-0911
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PINEY WOODS ER LLC is an emergency care clinic center in Tyler, TX. PINEY WOODS ER LLC NPI is 1215325642. The provider is registered as an organization entity type.
The provider Is Doing Business As Excel Er.

The provider's business location address is:

6718 S BROADWAY AVE
TYLER, TX
ZIP 75703-730
Phone: (903) 509-0911

The provider's authorized official is Christopher Kwon .
The authorized official title is Owner and has the following contact phone number (903) 509-0911.

The enumeration date for this NPI number is 1/8/2015 and was last updated on 12/30/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0002X	Clinic/Center	Emergency Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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