CR Emergency Services, PA

Organization Active NPI Emergency Medicine Physician · Aubrey, TX

NPI 1649415407 · NPPES record last updated Apr 18, 2014

Key facts

NPI
1649415407
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
Legal business name
CR EMERGENCY SERVICES, PA
Practice address
26791 Hwy 380
Aubrey, TX 76227
Phone
(972) 347-2525
NPI assigned
Dec 9, 2008
Organization subpart
No

Authorized official

Name
Dr. Randy Park, MD
Title
President
Phone
(940) 391-4377

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207P00000X Yes

Addresses

Primary practice location

26791 Hwy 380
Aubrey, TX 76227

Mailing address

10077 Grogans Mill Rd
Suite 100
The Woodlands, TX 77380-1022
Phone (281) 292-3450

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 18, 2014.

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397779200000",
    "number": "1649415407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10077 GROGANS MILL RD",
            "address_2": "SUITE 100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801022",
            "telephone_number": "281-292-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26791 HWY 380",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "76227",
            "telephone_number": "972-347-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CR EMERGENCY SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2014-04-18",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-391-4377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aubrey, TX

All providers in Aubrey, TX · Emergency Medicine Physician in Texas

Sources for this page

Verify at the official NPI Registry.