Texas Emergency Room Services, PA

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

TEXAS EMERGENCY ROOM SERVICES, PA

Practice address

2601 Dimmitt Rd
Plainview, TX 79072-1833

Phone

(806) 296-4282

Fax

(806) 233-1886

NPI assigned

Jul 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Provasnik

Title

Supervisor of Provider Enrollment

Phone

(800) 355-0808

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710185202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13478",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191013478",
            "telephone_number": "800-355-0808",
            "fax_number": "215-834-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 DIMMITT RD",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790721833",
            "telephone_number": "806-296-4282",
            "fax_number": "806-233-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS EMERGENCY ROOM SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PROVASNIK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SUPERVISOR OF PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "800-355-0808"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• T Coe Branch MD Associated
• Adedotun Adesola Tapere
• Team Vision Marketing Group, LLC
• Texan Nursing and Rehab of Plainview LLC
• Texas Em-I Medical Services PA
• Texas Emergency Staffing Solutions LLC
• Texas Super Smiles for Kids LLC
• Shelby Thomas, M.S. SLP
• Tobin Holloway, O.D., P.C.
• Tony R. Loggins M.D. P.a.

• All providers in Plainview, TX
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.