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NPI Code Detail

MEDICARE: EMCARE GLT EMERGENCY PHYSICIANS PLLC

MEDICARE: EMCARE GLT EMERGENCY PHYSICIANS PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100U11MOTHERTXBCBS

General Provider Information

NPI Number : 1003866203
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMCARE GLT EMERGENCY PHYSICIANS PLLC
Provider Business Mailing Address
First Line : 13737 NOEL ROAD
Second Line : SUITE 1600
City : DALLAS
State : TX
Zip : 75240-1374
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2300 MARIE CURIE DR
Second Line :
City : GARLAND
State : TX
Zip : 75042-5706
Country : US
Telephone Number : 972-487-5332
Fax Number : 214-712-2444
Authorized Official
Title or Position : OFFICER
Name : KATHY KONDAS
Credential :
Telephone Number : 954-838-2371
Provider Enumeration Date : 05/11/2006
Last Update Date : 08/16/2019

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Directions to “EMCARE GLT EMERGENCY PHYSICIANS PLLC ” Practice Location

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