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NPI Code Detail

MEDICARE: LOOP 101 EMERGENCY PHYSICIANS LLC

MEDICARE: LOOP 101 EMERGENCY PHYSICIANS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376573378
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOOP 101 EMERGENCY PHYSICIANS LLC
Provider Business Mailing Address
First Line : PO BOX 202340
Second Line :
City : DALLAS
State : TX
Zip : 75320-2340
Country : US
Telephone Number : 954-939-5000
Fax Number : 877-250-6889
Provider Business Practice Location Address
First Line : 19829 N 27TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-4001
Country : US
Telephone Number : 954-939-5000
Fax Number : 877-250-6889
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : CHRISTOPHER KENNEDY
Credential :
Telephone Number : 207-807-9009
Provider Enumeration Date : 07/04/2006
Last Update Date : 06/02/2026

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Directions to “LOOP 101 EMERGENCY PHYSICIANS LLC ” Practice Location

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