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NPI 1326485194

NPI 1326485194 : HOCKLEY EMERGENCY PHYSICIANS, PLLC : LEVELLAND, TX

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General NPI Number Information
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    NPI Number           |    1326485194
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOCKLEY EMERGENCY PHYSICIANS, PLLC 
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Dates
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    Enumeration Date     |    06/03/2013
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    Last Update Date     |    12/06/2019
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Provider Practice Location Address
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    Address Line         |    1900 COLLEGE AVE 
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    City                 |    LEVELLAND
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    State                |    TX
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    Zip                  |    79336-6508
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    Country              |    US
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    Telephone            |    973-251-1132
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    815 S PALAFOX ST 3RD FLOOR
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    City                 |    PENSACOLA
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    State                |    FL
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    Zip                  |    32502-5960
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OFFICER
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    Name                 |     KATHY  KONDAS 
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    Credential           |    
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    Telephone            |    973-251-1132
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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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