EXCEL ER – NPI #1699151514
Clinic/Center

EXCEL ER is an AHC clinic located in TEXARKANA, TX. NPPES has assigned the NPI number 1699151514 to EXCEL ER on August 03, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EXCEL ER” is a dba name, the actual legal business name for this organization is PINEY WOODS ER III LLC. The primary taxonomy selected by this provider is 261QE0002X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Emergency Care

The NPI profile was previously updated about 10 years ago on Sep 01, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EXCEL ER below.

NPI Profile for
PINEY WOODS ER III LLC

NPI Number
1699151514
Enumeration Date

(about 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PINEY WOODS ER III LLC
Doing Business As (dba): EXCEL ER
Primary location
4102 GIBSON LANE
TEXARKANA, TX 75503
Phone: (903) 792-0911 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHRISTOPHER KWON
MANAGER
Phone: (903) 792-0911
Updated
Identifiers

Identifiers for EXCEL ER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERDEPARTMENT OF STATE HEALTH SERVICESTX160258
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0002X
- Clinic/Center / Emergency Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.