Provider Demographics
NPI:1023086709
Name:GREATER HOUSTON EMERGENCY PHYSICIANS PLLC
Entity type:Organization
Organization Name:GREATER HOUSTON EMERGENCY PHYSICIANS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:SEAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-784-1111
Mailing Address - Street 1:PO BOX 301039
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75303-1039
Mailing Address - Country:US
Mailing Address - Phone:281-784-1500
Mailing Address - Fax:281-209-8930
Practice Address - Street 1:13402 SAN PEDRO BLVD.
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216
Practice Address - Country:US
Practice Address - Phone:409-539-1111
Practice Address - Fax:409-788-8044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-09
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX080402305Medicaid
TX0046DEOtherBCBSTX GROUP NUMBER
TX182797400OtherDOL OWCP GRP PROV NO
TX182797400OtherDOL OWCP GRP PROV NO
TX0046DEOtherBCBSTX GROUP NUMBER
TX080402305Medicaid
TXCG5091Medicare PIN
TX335829Medicare PIN
TXCI8120Medicare PIN