Organization · NPI-2

1551 W Central Er Physicians PLLC

Emergency Medicine · Temple, TX

NPI number1972118198
StatusActive
Last updated in NPPESSep 14, 2020

Details

NPI
1972118198
Entity type
Organization (NPI-2)
Legal business name
1551 W Central Er Physicians PLLC
Organization subpart
No
Enumeration date
Sep 14, 2020
Certification date
Sep 14, 2020
Last updated
Sep 14, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine––Yes

Practice location

1551 W Central Ave
Temple, TX 76504-4005

Phone 254-282-0516

Mailing address

910 S Kimball Ave
Southlake, TX 76092-9005

Phone 817-527-3403

Authorized official

Julie Radley
Coo
7135912256

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