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Emcc Weatherford Er Physicians, PLLC

Emergency Medicine in Weatherford, TX. Organization (NPI-2).

NPI number1720643653
StatusActive
Last updated in NPPESJan 9, 2023

Details

NPI
1720643653
Entity type
Organization (NPI-2)
Legal business name
Emcc Weatherford Er Physicians, PLLC
Organization subpart
No
Enumeration date
May 6, 2019
Certification date
Jan 9, 2023
Last updated
Jan 9, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine––Yes
207PE0004X Emergency Medicine, Emergency Medical Services––

Practice location

730 Adams Dr
Weatherford, TX 76086-6266

Phone 817-594-0911 · Fax 817-594-7724

Mailing address

2300 Matlock Rd Ste 35
Mansfield, TX 76063-5018

Phone 469-830-8200 · Fax 469-830-8201

Authorized official

Michelle Newsom
President
4698308200

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