Ebd Bemc Burleson, LLC
General Acute Care Hospital in Mansfield, TX. Organization (NPI-2).
NPI number1598196206
StatusActive
Last updated in NPPESMay 10, 2024
Details
- NPI
- 1598196206
- Entity type
- Organization (NPI-2)
- Legal business name
- Ebd Bemc Burleson, LLC
- Organization subpart
- Yes
- Enumeration date
- Dec 5, 2013
- Certification date
- May 10, 2024
- Last updated
- May 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 282N00000X | General Acute Care Hospital | – | – | Yes |
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – |
Other names
- Baylor Emergency Medical Center At Mansfield (Doing Business As)
Practice location
1776 Highway 287 N Ste 100Mansfield, TX 76063-7628
Mailing address
8686 New Trails DrSuite 100
The Woodlands, TX 77381-1176
Phone 713-637-1144 · Fax 281-292-3585
Authorized official
Tina Johnson
Provider Enrollment Coordinator
7139292076
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