The nation's oldest and largest freestanding emergency room system.

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League City Victory Lakes 1500 710
First Choice Emergency Room

League City - Victory Lakes LOCATION


1535 W. FM 646

Dickinson, TX 77539


Open 24 Hours


(281) 549-7220

The following FIRST CHOICE EMERGENCY ROOM locations are NOT affiliated with First Texas Hospital Cy-Fair and are NOT enrolled with any federal or state health care programs (e.g., Medicare, Medicaid, TRICARE, etc.): Alvin, La Porte, Friendswood, League City - Victory Lakes, Pearland located at 2906 Broadway St., and South Shore Harbour.


First Choice Emergency Room is the nation’s leading freestanding emergency room system; it is both largest and the oldest. First Choice Emergency Room facilities are innovative, freestanding, and fully equipped emergency rooms with state of the art diagnostic technology (CT Scanners, Ultrasound, Digital X-ray) and on-site labs. All First Choice Emergency Room locations are exclusively staffed with board-certified emergency physicians and emergency trained registered nurses.

Our League City - Victory Lakes ER is located on FM 646 just east of League City Towne Center.


Richard W. Cole, MD, MPH, FACEP

Dr. Cole received his medical degree from the University of Arkansas for Medical Sciences in Little Rock, AR and remained to complete a residency in emergency medicine. He also holds a Masters of Public Health from the University of Texas Medical Branch in Galveston, TX, where he completed a aerospace medicine residency. Dr. Cole also completed an ultrasound fellowship from the University of Texas Health Medical School in Houston, TX. He is an Aerospace Medical Association Associate Fellow and a Fellow in both the American College of Emergency Physicians and the Wilderness Medical Society. Dr. Cole is board-certified in both emergency and preventative medicine and has over fifteen years of clinical experience at multiple emergency departments including trauma centers and regional referral hospitals.