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General NPI Number Information
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NPI Number | 1285922542
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE EMERGENCY SERVICES PHYSICIAN GROUP PA
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Dates
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Enumeration Date | 07/20/2011
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 1500 S MAIN ST
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City | FORT WORTH
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State | TX
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Zip | 76104
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Country | US
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Telephone | 817-927-1100
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Fax | 214-712-2444
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Provider Business Mailing Address
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Address Line | PO BOX 650823 DEPARTMENT #41534
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City | DALLAS
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State | TX
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Zip | 75265-0823
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Country | US
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Telephone | 469-420-5544
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NESTOR R ZENAROSA
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Credential | MD
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Telephone | 469-420-5527
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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