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General NPI Number Information
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NPI Number | 1174932131
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Entity Type | Organization
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Legal Business Name | EMERGENCY SERVICES OF TEXAS PA
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Dates
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Enumeration Date | 08/04/2014
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Last Update Date | 07/21/2023
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Provider Practice Location Address
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Address Line | 608 STRICKLAND DR
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City | ORANGE
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State | TX
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Zip | 77630-4717
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Country | US
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Telephone | 409-883-9361
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Fax |
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Provider Business Mailing Address
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Address Line | 5000 HOPYARD RD SUITE 100
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City | PLEASANTON
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State | CA
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Zip | 94588-3348
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Country | US
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Telephone | 925-924-1600
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Fax | 925-924-0506
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Authorized Official
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Title or Position | PE DIRECTOR
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Name | SHARON HARDY
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Credential |
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Telephone | 925-251-6901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PP0204X
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Taxonomy Name | Pediatric Emergency Medicine (Emergency Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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