4642 N Mesa Er Physicians PLLC
Emergency Medicine, Emergency Medical Services in El Paso, TX. Organization (NPI-2).
NPI number1780197574
StatusActive
Last updated in NPPESFeb 5, 2018
Details
- NPI
- 1780197574
- Entity type
- Organization (NPI-2)
- Legal business name
- 4642 N Mesa Er Physicians PLLC
- Organization subpart
- No
- Enumeration date
- Nov 15, 2017
- Last updated
- Feb 5, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207PE0004X | Emergency Medicine, Emergency Medical Services | – | – | Yes |
Practice location
4642 N Mesa St.El Paso, TX 79912
Phone 817-421-0012 · Fax 817-421-0036
Mailing address
910 S Kimball AveSouthlake, TX 76092-9005
Phone 817-421-0034 · Fax 817-421-0036
Authorized official
John Braxton Neiman
General Counsel
8174210034
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