COLLEGE STATION ER LLC NPI 1073058939

NPI Information

  • NPI: 1073058939
  • Provider Name: COLLEGE STATION ER, LLC
  • Classification: Clinic/Center - 261QE0002X
  • Specialization: Emergency Care
  • Entity Type: Organization
  • Doing Business As: SIGNATURE CARE EMERGENCY CENTER - COLLEGE STATION
  • CLIA Number: 45D2123338
  • Address: 1512 TEXAS AVE S
    SUITE 500
    COLLEGE STATION, TX
    ZIP 77840
  • Phone: (979) 213-5520

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NPI Details

COLLEGE STATION ER, LLC is an emergency care clinic center in College Station, TX. COLLEGE STATION ER, LLC NPI is 1073058939. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Signature Care Emergency Center - College Station.

The provider's business location address is:

1512 TEXAS AVE S
SUITE 500
COLLEGE STATION, TX
ZIP 77840-329
Phone: (979) 213-5520
Fax: (281) 752-7961

The provider's authorized official is Darleen Callahan .
The authorized official title is Director Of Operations and has the following contact phone number (832) 699-3777.

The CLIA number assigned to this NPI record is 45D2123338 - other - freestanding er with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/3/2017 and was last updated on 1/14/2025.

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
1207P00000XEmergency Medicine160304TEXASNo
2261QE0002XClinic/CenterEmergency CareYes

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: 11/21/2025

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