=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811519309
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EMPLOYER CARE RESOURCES PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/07/2020
-----------------------------------------------------
Last Update Date | 12/14/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7515 GREENVILLE AVE STE 900
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75231-3851
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 844-417-7233
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7515 GREENVILLE AVE STE 900
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75231-3851
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 844-417-7233
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MEMBER
-----------------------------------------------------
Name | DR. NICK KARR
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 734-905-9660
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2083P0500X
-----------------------------------------------------
Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------