Healthcare Provider Details
I. General information
NPI: 1396898854
Provider Name (Legal Business Name): METHODIST EMERGENCY PHYSICIANS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/19/2007
Last Update Date: 12/04/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1265 UNION AVE
MEMPHIS TN
38104-3415
US
IV. Provider business mailing address
8010 STAGE HILLS BLVD
BARTLETT TN
38133-4032
US
V. Phone/Fax
- Phone: 901-516-7600
- Fax:
- Phone: 901-291-2400
- Fax: 901-379-0771
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CLAUDE
F
VARNER
JR.
Title or Position: PRESIDENT
Credential: MD
Phone: 901-516-7600