SOUTH SHORE ER LLC NPI 1912677295

NPI Information

  • NPI: 1912677295
  • Provider Name: SOUTH SHORE ER LLC
  • Classification: Clinic/Center - 261QE0002X
  • Specialization: Emergency Care
  • Entity Type: Organization
  • Address: 3016 MARINA BAY DR
    LEAGUE CITY, TX
    ZIP 77573
  • Phone: (409) 502-7194

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NPI Details

SOUTH SHORE ER LLC is an emergency care clinic center in League City, TX. SOUTH SHORE ER LLC NPI is 1912677295. The provider is registered as an organization entity type.

The provider's business location address is:

3016 MARINA BAY DR
LEAGUE CITY, TX
ZIP 77573-768
Phone: (409) 502-7194

The provider's authorized official is Suchmor Thomas .
The authorized official title is Owner and has the following contact phone number (409) 502-7194.

The enumeration date for this NPI number is 9/17/2021 and was last updated on 12/29/2021.

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
1261QE0002XClinic/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: 3/30/2025

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