Organization · NPI-2

2013 Pearl Er Physicians PLLC

Emergency Medicine, Emergency Medical Services · San Antonio, TX

NPI number1255841011
StatusActive
Last updated in NPPESOct 6, 2017

Details

NPI
1255841011
Entity type
Organization (NPI-2)
Legal business name
2013 Pearl Er Physicians PLLC
Organization subpart
No
Enumeration date
Oct 6, 2017
Last updated
Oct 6, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207PE0004X Emergency Medicine, Emergency Medical Services––Yes

Practice location

2015 Broadway St
San Antonio, TX 78215-1117

Phone 817-527-3403 · Fax 817-527-3445

Mailing address

Po Box 93044
Southlake, TX 76092-1044

Phone 817-527-3403

Authorized official

John B Neiman
General Cousel
8174210034

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