PROVIDER ON DEMAND, LLC
NPI 1013770148
Emergency Medicine in Lorena, TX

Q: What is Provider On Demand LLC's NPI number?

The NPI number for Provider On Demand LLC is 1013770148. It was assigned to this organization in the NPPES registry on February 1, 2024. The provider is doing business as Provider On Demand, LLC.

Q: What is Provider On Demand LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since February 01, 2024CLIA Certified · 2 labs

1199 OLD LORENA RD, LORENA, TX 76655(757) 642-5062(737) 270-7540 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2024, Sep 16, 2024, Feb 10, 2024 (3 updates tracked since 2024).

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About Provider On Demand, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDER ON DEMAND, LLC (NPI 1013770148) is a healthcare organization registered as an emergency medicine in Lorena, Texas and active in the NPI registry since February 2024. The organization holds 2 active CLIA laboratory certificates and lists Brett Marvel, Coo, as its authorized official.

NPPES Registry Identity

NPI1013770148

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NamePROVIDER ON DEMAND LLC

Location Address1199 OLD LORENA RDLorena, TX 76655-3176

Mailing Address1551 W Central AveTemple, TX 76504-4005

Phone(757) 642-5062

Fax(737) 270-7540

Organization SubpartNo

Authorized OfficialBrett MarvelCoo · (737) 747-2200

Enumeration DateFebruary 1, 2024

Last NPPES UpdateOctober 9, 20243 updates tracked since enumeration

NPPES CertifiedOctober 9, 2024

✔ NPI 1013770148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedGeneral PracticeTaxonomy 208D00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

1199 OLD LORENA RD, Lorena, TX 76655

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Other Names 1

Doing Business AsProvider On Demand, Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2311286

Provider On Demand - Lorena Clinic · Lorena, TX

Active · expires Sep 18, 2026

CLIA Number45D2311286

Laboratory TypePhysician Office

Certificate Effective DateSeptember 19, 2024

Certificate Expiration DateSeptember 18, 2026

Laboratory DirectorBrett A. Marvel

Laboratory Phone(254) 271-4254

Laboratory LocationProvider On Demand - Lorena Clinic1199 Old Lorena Road, Lorena, TX 76655

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2302468

Provider On Demand · San Antonio, TX

Active · expires Apr 9, 2028

CLIA Number45D2302468

Laboratory TypeCommunity Clinic

Certificate Effective DateApril 10, 2026

Certificate Expiration DateApril 9, 2028

Laboratory DirectorBrett Marvel

Laboratory Phone(737) 747-2200

Laboratory LocationProvider On Demand2325 NW Military Hwy, Suite 107, San Antonio, TX 78231

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARLENE MORALES MD

Emergency Medicine