4642 N Mesa ER Physicians PLLC
Organization Active NPI Emergency Medical Services (Emergency Medicine) Physician · El Paso, TX
NPI 1780197574 · NPPES record last updated Feb 5, 2018
Key facts
- NPI
- 1780197574
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician 207PE0004X
- Legal business name
- 4642 N MESA ER PHYSICIANS PLLC
- Practice address
- 4642 N Mesa St.
El Paso, TX 79912 - Phone
- (817) 421-0012
- Fax
- (817) 421-0036
- NPI assigned
- Nov 15, 2017
- Organization subpart
- No
Authorized official
- Name
- John Braxton Neiman
- Title
- General Counsel
- Phone
- (817) 421-0034
National Provider Directory
Locations
4642 N Mesa St
El Paso, TX 79912
Phone (915) 200-2650
910 S Kimball Ave
Southlake, TX 76092
Phone (817) 527-3470
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician |
207PE0004X | Yes |
Addresses
Primary practice location
4642 N Mesa St.
El Paso, TX 79912
Mailing address
910 S Kimball Ave
Southlake, TX 76092-9005
Phone (817) 421-0034
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2018. 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.