Aegis Emergency Physicians Group PLLC
Organization Active NPI Emergency Medicine Physician · Tomball, TX
NPI 1154724862 · NPPES record last updated Oct 13, 2021
Key facts
- NPI
- 1154724862
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- K2650 (TX)
- Legal business name
- AEGIS EMERGENCY PHYSICIANS GROUP PLLC
- Practice address
- 1490 FM 2920 Ste G 528
Tomball, TX 77377 - Phone
- (817) 451-4208
- Fax
- (817) 563-3699
- NPI assigned
- Oct 8, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Donald Glen Blaschke II, MD
- Title
- Manager
- Phone
- (615) 979-9453
National Provider Directory
Locations
7214 FM 1488 Rd
#C
Magnolia, TX 77354
Phone (281) 259-2273
7214 FM 1488 Rd
Magnolia, TX 77354
Phone (281) 259-2273
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | K2650 | TX | Yes |
Addresses
Primary practice location
1490 FM 2920 Ste G 528
Tomball, TX 77377
Mailing address
5400 Maryland Way Ste 100
Brentwood, TN 37027-5048
Phone (615) 979-9453
Other practice location 1
5400 Maryland Way Ste 100
Brentwood, TN 37027-5048
Phone (615) 979-9453
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All providers in Tomball, TX · Emergency Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.