Healthcare Provider Details
I. General information
NPI: 1609563014
Provider Name (Legal Business Name): DS EMERGENCY PHYSICIANS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/18/2023
Last Update Date: 03/22/2024
Certification Date: 03/22/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
333 E HIGHWAY 290 # 350
DRIPPING SPRINGS TX
78620-5300
US
IV. Provider business mailing address
5525 BURNET RD STE A
AUSTIN TX
78756-1646
US
V. Phone/Fax
- Phone: 512-451-0911
- Fax:
- Phone: 512-451-0911
- Fax: 737-843-0009
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
TIMOTHY
CARTER
Title or Position: FOUNDER
Credential: MD
Phone: 512-451-0911